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NPI 1508419938

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Custom Dental of Ottawa, PA

NPI 1508419938 · Dental Clinic/Center · Ottawa, KS

Provider details

NPI number: 1508419938
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Rene Rodgers, Coo

Practice location

2030 S Princeton St

Ottawa, KS 66067

Phone: (785) 521-3737

More KS providers

Mailing address

2030 S Princeton St

Ottawa, KS 66067

Registry dates

Enumerated: 2019-07-24
Last updated: 2021-09-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Custom Dental of Ottawa, PA — NPI 1508419938, Ottawa, KS | NPI Central