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Organization
THREEMONDDS LLC
Active
Organization
THREEMONDDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN FORMANEK (OWNER)
(785) 592-6652
Entity
Organization
Contact information
Practice address
7524 STATE AVE, KANSAS CITY, KS 66112-2816
(785) 592-6652
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
06/20/2023
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