Organization · Type 2 NPI
Free State Dental
Dental Clinic/Center · De Soto, KS
NPI number
1912778804
Active
Practice location
33391 Lexington Avenue, Suite C
De Soto, KS 66018
Mailing address
4111 W 6th St
Lawrence, KS 66049-4609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1912778804
Free State Dental's National Provider Identifier is 1912778804, issued on Jan 10, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in De Soto, KS. The record was last updated on Jan 10, 2024.