DR. Brent Mayginnes, DDS
NPI #1093794711 in Overland Park, Kansas
Provider Information
- NPI Number
- 1093794711
- Entity Type
- Individual
- Name
- DR. Brent Mayginnes, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11755 W 112TH ST
- Address 2
- SUITE 200
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66210-2761
- Phone
- (913) 469-6880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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