Oak Park Village Dental LLC

NPI #1316445281 in Lenexa, Kansas

Provider Information

NPI Number
1316445281
Entity Type
Organization
Organization Name
Oak Park Village Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 25, 2018
Last Updated
Jan 25, 2018

Practice Location

Address
12148 W 95TH ST
City
Lenexa
State
Kansas
ZIP Code
66215-3805
Phone
(913) 492-9660

Authorized Official

Name
BRYAN PACE
Title
BUSINESS MANAGER
Phone
(801) 455-5896

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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