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Organization
FOUNDATION PERIODONTICS, PA
Active
Organization
FOUNDATION PERIODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KEVIN MOWRY DDS, MS (PRESIDENT)
(913) 894-9962
Entity
Organization
Contact information
Practice address
8704 BOURGADE ST, SUITE 100, LENEXA, KS 66219-1440
(913) 894-9962
(913) 894-9972
Mailing address
8704 BOURGADE ST, SUITE 100, LENEXA, KS 66219-1440
(913) 894-9962
(913) 894-9972
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7104, 7097
KS
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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