Whalio Doctors

NPI 1720231848

Vollertsen Family Dentistry

Organisation Health Maintenance Organization Garden City, KS

Practice location

Address
1402 1/2 Kansas Ave., Garden City, KS 67846
Phone
(620) 275-4251
Fax
(620) 275-5389
Mailing address
1402 1/2 E Kansas Ave, Garden City, KS 67846-5806

Authorised official

Name
Grant Kurtis Vollertsen
Title
Doctor of Dental Surgery
Phone
(620) 275-4251

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 60401 (KS)

Registry record

NPI
1720231848
Entity type
Organization
NPI issued
3 Nov 2008
Record last updated
3 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.