Free State Dental

NPI #1912778804 in De Soto, Kansas

Provider Information

NPI Number
1912778804
Entity Type
Organization
Organization Name
Free State Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 10, 2024
Last Updated
Jan 10, 2024

Practice Location

Address
33391 LEXINGTON AVENUE
Address 2
SUITE C
State
Kansas
ZIP Code
66018
Phone
(785) 843-2636

Authorized Official

Name
BRADLEY AARON ADAMS, DDS
Title
PARTNER
Phone
(785) 843-2636

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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