Mydentist-state Ave. | |
7848 State Ave Kansas City KS 66112-2417 | |
(913) 299-1001 | |
Not Available |
Full Name | Mydentist-state Ave. |
---|---|
Speciality | Dentist - General Practice |
Location | 7848 State Ave, Kansas City, Kansas |
Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175408312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mydentist-state Ave. 7848 State Ave Kansas City KS 66112-2417 Ph: () - | Mydentist-state Ave. 7848 State Ave Kansas City KS 66112-2417 Ph: (913) 299-1001 |
NPI Number | 1376963231 |
---|---|
Provider Enumeration Date | 04/18/2014 |
Last Update Date | 04/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376963231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
News Archive
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