Kansas City Kansas Dental Associates PA
NPI #1114028578 in Kansas City, Kansas
Provider Information
- NPI Number
- 1114028578
- Entity Type
- Organization
- Organization Name
- Kansas City Kansas Dental Associates PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 753 STATE AVE
- Address 2
- STE 665
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66101-2516
- Phone
- (913) 321-4385
Authorized Official
- Name
- MS. JAN M CARLSON
- Title
- OFFICE ADMINISTRATOR
- Phone
- (913) 321-4385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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