Organization · Type 2 NPI
Custom Dental of Ottawa, PA
Dental Clinic/Center · Ottawa, KS
NPI number
1508419938
Active
Practice location
2030 S Princeton St
Ottawa, KS 66067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1508419938
Custom Dental of Ottawa, PA's National Provider Identifier is 1508419938, issued on Jul 24, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ottawa, KS. The record was last updated on Sep 8, 2021.