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Organization
EMERGENCY DENTAL OF KANSAS CITY, LLC
Active
Organization
EMERGENCY DENTAL OF KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKKI LIEBERTH (OFFICE MANAGER)
(402) 932-9413
Entity
Organization
Contact information
Practice address
3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120
(785) 989-4911
Mailing address
3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61316
KS
Other
Enumeration date
10/10/2017
Last updated
01/03/2018
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