Shawnee Dental

NPI #1306039987 in Shawnee, Kansas

Provider Information

NPI Number
1306039987
Entity Type
Organization
Organization Name
Shawnee Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 27, 2007
Last Updated
Aug 27, 2007

Practice Location

Address
13430 W 62ND TER
State
Kansas
ZIP Code
66216-1784
Phone
(913) 962-4400

Authorized Official

Name
IRWIN N BOE JR., D.D.S.,M.S.
Title
DENTIST
Phone
(913) 962-4400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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