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Organization
BUCCAL UP DENTAL LENEXA LLC
Active
Organization
BUCCAL UP DENTAL LENEXA LLC
Active
Other names
Dentistry for You Lenexa
Organization subpart
No
Provider details
NPI number
Authorized official
BECCA CONDLEY (BILLING/CREDENTIALING SPECIALIST)
(918) 960-3070
Entity
Organization
Contact information
Practice address
13200 W 95TH ST, LENEXA, KS 66215-3731
(913) 888-8333
Mailing address
5314 S YALE AVE STE 400, TULSA, OK 74135-6271
(918) 960-3070
(539) 867-1236
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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