Petal Dental LLC
NPI #1629650403 in Overland Park, Kansas
Provider Information
- NPI Number
- 1629650403
- Entity Type
- Organization
- Organization Name
- Petal Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 22, 2021
- Last Updated
- Oct 31, 2022
Practice Location
- Address
- 9322 W 87TH ST
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66212-3778
- Phone
- (913) 444-9329
Authorized Official
- Name
- DR. YASHONI SHAH, DDS
- Title
- OWNER/DENTIST
- Phone
- (913) 444-9329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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