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Organization
KC COMPLETE PROSTHODONTICS PA
Active
Organization
KC COMPLETE PROSTHODONTICS PA
Active
Other names
KC Complete Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANDREW SPARKS DMD (OWNER)
(660) 216-2514
Entity
Organization
Contact information
Practice address
11401 NALL AVE STE 102, LEAWOOD, KS 66211-1850
(913) 703-5599
Mailing address
11401 NALL AVE STE 102, LEAWOOD, KS 66211-1850
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
61139
KS
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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