My Dentist Western, Kc, PA

NPI #1215362066 in Kansas City, Kansas

Provider Information

NPI Number: 1215362066
Entity Type: Organization
Organization Name: My Dentist Western, Kc, PA
Subpart: Yes (part of a larger organization)
Parent Organization: MY DENTIST HOLDINGS, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 12, 2013
Last Updated: Sep 12, 2013

Practice Location

Address: 7848 STATE AVE
City: Kansas City
State: Kansas
ZIP Code: 66112-2417
Phone: (913) 299-1001

Authorized Official

Name: JENNIFER CHAMBERS, DDS
Title: CHIEF DENTAL DIRECTOR
Phone: (405) 753-1237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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