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1144773698
JUSTIN SHIRK
MCCONNELL AFB, KS
NPI
1144773698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 7309)
Additional Taxonomies
122300000X Dentist
(Licence: KS 61816)
Enumeration Date
2016-08-02
Last Update Date
2021-11-10
Business Address
JUSTIN SHIRK DDS
57950 LEAVENWORTH ST 22D MEDICAL GROUP
MCCONNELL AFB, KS 67221-3506
Phone number: 316-759-5181
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Mailing Address
JUSTIN SHIRK DDS
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number:
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