Goddard Orthodontics PA

NPI #1114481322 in Goddard, Kansas

Provider Information

NPI Number
1114481322
Entity Type
Organization
Organization Name
Goddard Orthodontics PA
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 22, 2019
Last Updated
Jan 22, 2019

Practice Location

Address
19931 W KELLOGG DR
State
Kansas
ZIP Code
67052-8863
Phone
(316) 722-6717

Authorized Official

Name
DR. LEVI HANSEN, DMD, MS
Title
DOCTOR
Phone
(316) 722-6717

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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