Derby Modern Dentistry, PA

NPI #1114485794 in Derby, Kansas

Provider Information

NPI Number
1114485794
Entity Type
Organization
Organization Name
Derby Modern Dentistry, PA
Primary Specialty
Dentist
Enumeration Date
Mar 4, 2019
Last Updated
Mar 4, 2019

Practice Location

Address
2006 N ROCK RD STE 300
City
Derby
State
Kansas
ZIP Code
67037-3752
Phone
(316) 416-6057

Authorized Official

Name
NICHOLAS BELL, DDS
Title
OWNER
Phone
(316) 416-6057

Specialties & Taxonomy Codes

Specialty
Dentist

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