Leavenworth Family Dental, PA

NPI #1871255943 in Leavenworth, Kansas

Provider Information

NPI Number: 1871255943
Entity Type: Organization
Organization Name: Leavenworth Family Dental, PA
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2021
Last Updated: Oct 6, 2021

Practice Location

Address: 4500 S 4TH ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-5041
Phone: (913) 682-1550

Authorized Official

Name: DR. JOHN MCKNIGHT
Title: OWNER
Phone: (913) 682-1550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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