Complete Dental Care, P.a.

NPI #1639310964 in Lenexa, Kansas

Provider Information

NPI Number: 1639310964
Entity Type: Organization
Organization Name: Complete Dental Care, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2009
Last Updated: Mar 17, 2009

Practice Location

Address: 11150 PFLUMM ROAD
Address 2: SUITE 100
City: Lenexa
State: Kansas
ZIP Code: 66215
Phone: (913) 317-6453

Authorized Official

Name: MRS. GINA HASKETT, DSDF
Title: OFFICE MANAGER
Phone: (913) 317-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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