Kaw Valley Family Dental LLC

NPI #1114592938 in Edwardsville, Kansas

Provider Information

NPI Number: 1114592938
Entity Type: Organization
Organization Name: Kaw Valley Family Dental LLC
Primary Specialty: Dentist
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 10601 KAW DR
City: Edwardsville
State: Kansas
ZIP Code: 66111-1130
Phone: (913) 441-3373

Authorized Official

Name: DR. JOHN MCKNIGHT, DDS
Title: OWNER
Phone: (913) 290-0014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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