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NPI 1992865612

OrganizationActive

Carol M. Ysidro, D.d.s.,p.a.

NPI 1992865612 · Public Health Dentistry · Derby, KS

Provider details

NPI number: 1992865612
Entity type: Organization
Primary specialty: Public Health DentistryDental Providers
Authorized official: Monte Ysidro, Business Manager
License: 60024 (KS)

Practice location

900 E. Meadowlark

Derby, KS 67037-5258

Phone: (316) 788-2118

Fax: (316) 789-9098

More KS providers

Mailing address

Po Box 1258

Derby, KS 67037-5258

Registry dates

Enumerated: 2006-12-11
Last updated: 2020-08-22

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

Carol M. Ysidro, D.d.s.,p.a. — NPI 1992865612, Derby, KS | NPI Central