Glen Mitchell DDS

NPI 1073694063 - Dentist - 122300000X

NPI Details
NPI 1073694063
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2010 CENTRAL AVE
DODGE CITY KS, 67801-6422, US
Phone (620) 227-3281
Fax
Business Location
2010 CENTRAL AVE
DODGE CITY KS, 67801-6422, US
Phone (620) 227-3281
Fax
Toxanomy
Taxonomy Code 122300000X
License State Kansas
License Number KS4011
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According to our database, Glen Mitchell DDS NPI is 1073694063, taxonomy code is 122300000X and license number is KS4011, license state is located at Kansas. Glen Mitchell DDS physically located at 2010 Central Ave, Dodge City KS, 67801-6422. NPI Number Glen Mitchell DDS has the Individual type.

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1073694063 NPI number is provided on an as is basis without warranty of any kind. 1073694063 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Mitchell DDS are for informational purposes only.