WAKASHAW LLC NPI 1336550607

NPI Information

WAKASHAW, LLC is an oral and maxillofacial surgery dentist in Lawrence, KS. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. WAKASHAW, LLC NPI is 1336550607. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4901 LEGENDS DR
LAWRENCE, KS
ZIP 66049-800
Phone: (785) 856-6010
Fax: (785) 841-6480

The provider's authorized official is Philip Charles Gaus .
The authorized official title is Owner/manager and has the following contact phone number (785) 856-6010.

The enumeration date for this NPI number is 5/8/2014 and was last updated on 7/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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