INDEPENDENCE DENTAL, LLC

INDEPENDENCE, KS
NPI1104598721
Entity TypeOrganization
Authorized ContactJUAN CAMILO REYNOLDS
Owner/Dentist
918-907-1335
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-10-01
Last Update Date2021-10-01
Business Address
INDEPENDENCE DENTAL, LLC
308 N 6TH ST
INDEPENDENCE, KS 67301-3129
Phone number: 620-331-4499
Mailing Address
INDEPENDENCE DENTAL, LLC
308 N 6TH ST
INDEPENDENCE, KS 67301-3129
Phone number: 620-331-4499
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