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Foundation Periodontics, PA

NPI #1295819951 in Lenexa, Kansas

Provider Information

NPI Number
1295819951
Entity Type
Organization
Organization Name
Foundation Periodontics, PA
Primary Specialty
Dentist - Periodontics
Enumeration Date
Oct 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
8704 BOURGADE ST
Address 2
SUITE 100
City
Lenexa
State
Kansas
ZIP Code
66219-1440
Phone
(913) 894-9962

Authorized Official

Name
DR. JOHN KEVIN MOWRY, DDS, MS
Title
PRESIDENT
Phone
(913) 894-9962

Specialties & Taxonomy Codes

Specialty
Dentist - Periodontics — Periodontics

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