# ADVANCED DENTAL P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285827014
- **Authorized official:** IRWIN N BOE JR. D.D.S.,M.S (DENTIST)
- **Authorized official phone:** (913) 557-3333

## Contact information

- **Practice address:** 21 W WEA ST, PAOLA, KS 66071-1462
- **Practice address phone:** (913) 557-3333
- **Practice address fax:** (913) 557-9191
- **Mailing address:** 21 W WEA ST, PAOLA, KS 66071-1462
- **Mailing address phone:** (913) 557-3333
- **Mailing address fax:** (913) 557-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60303 | KS | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/24/2007