Dental Professionals LLC

NPI #1033661988 in Derby, Kansas

Provider Information

NPI Number: 1033661988
Entity Type: Organization
Organization Name: Dental Professionals LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 26, 2016
Last Updated: Oct 26, 2016

Practice Location

Address: 900 E MEADOWLARK BLVD
City: Derby
State: Kansas
ZIP Code: 67037-3465
Phone: (316) 788-2118

Authorized Official

Name: MONTE YSIDRO
Title: BUSINESS MANAGER
Phone: (316) 788-2118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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