Cas Dds Pa

NPI 1053514521 - Dentist - 1223G0001X

NPI Details
NPI 1053514521
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLAY A CLAY
Position DENTIST
Phone (620) 342-6643
Fax (342) 343-3361
Practice Location
710 COMMERCIAL ST
EMPORIA KS, 66801-2913, US
Phone (620) 342-6643
Fax (342) 343-3361
Business Location
710 COMMERCIAL ST
EMPORIA KS, 66801-2913, US
Phone (620) 342-6643
Fax (342) 343-3361
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 60496
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According to our database, Cas Dds Pa NPI is 1053514521, taxonomy code is 1223G0001X and license number is 60496, license state is located at Kansas. Cas Dds Pa physically located at 710 Commercial St, Emporia KS, 66801-2913. NPI Number 1033115704 has the healthcare provider type.

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1053514521 NPI number is provided on an as is basis without warranty of any kind. 1053514521 is maintained by the National Plan & Provider Enumeration System. The contents of Cas Dds Pa are for informational purposes only.