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Organization
SMILES OF KANSAS CITY DENTAL CENTER, P.A.
Active
Organization
SMILES OF KANSAS CITY DENTAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN LAREE BERKVAN D.D.S. (OWNER/DENTIST)
(913) 254-1300
Entity
Organization
Contact information
Practice address
10127 CHERRY #E, LENEXA, KS 66220
(913) 254-1300
Mailing address
10127 CHERRY #E, LENEXA, KS 66220
(913) 254-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS.60379
KS
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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