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Organization
PERIODONTIST PA
Active
Organization
PERIODONTIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY L WINT DDS (PRESIDENT)
(913) 451-6158
Entity
Organization
Contact information
Practice address
10870 BENSON ST, BLDG. 21 SUITE 2100, OVERLAND PARK, KS 66210-1502
(913) 451-6158
(913) 451-9463
Mailing address
10870 BENSON ST, BLDG. 21 SUITE 2100, OVERLAND PARK, KS 66210-1502
(913) 451-6158
(913) 451-9463
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5544
KS
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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