ERIC J MAYUGA DDS PA

GARDNER, KS
NPI1912084914
Entity TypeOrganization
Authorized ContactERIC J MAYUGA
Owner
913-856-6171
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  7031)
Enumeration Date2006-11-01
Last Update Date2011-05-16
Business Address
ERIC J MAYUGA DDS PA
204 E MAIN ST
GARDNER, KS 66030
Phone number: 913-856-6171
Mailing Address
ERIC J MAYUGA DDS PA
PO BOX 271 204 E MAIN ST
GARDNER, KS 66030
Phone number: 913-856-6171