Carol M. Ysidro, D.d.s.,p.a.

NPI #1992865612 in Derby, Kansas

Provider Information

NPI Number
1992865612
Entity Type
Organization
Organization Name
Carol M. Ysidro, D.d.s.,p.a.
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Dec 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
900 E. MEADOWLARK
City
Derby
State
Kansas
ZIP Code
67037-5258
Phone
(316) 788-2118

Authorized Official

Name
MR. MONTE YSIDRO
Title
BUSINESS MANAGER
Phone
(316) 788-2118

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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