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Organization
OLATHE SOUTH DENTISTRY, PA
Active
Organization
OLATHE SOUTH DENTISTRY, PA
Active
Other names
Olathe South Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA RAWALT DDS (OWNER)
(913) 286-4548
Entity
Organization
Contact information
Practice address
16587 W 151ST ST, OLATHE, KS 66062
(913) 286-4548
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
05/11/2022
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