# GENMAT, PA

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

## Provider details

- **NPI number:** 1396245775
- **Authorized official:** DR. MATHEW H DRAPER DDS (OWNER)
- **Authorized official phone:** (385) 215-6097

## Contact information

- **Practice address:** 1320 CENTRAL AVE, KANSAS CITY, KS 66102-5030
- **Practice address phone:** (913) 342-5280
- **Mailing address:** 12180 S 300 E UNIT 270, DRAPER, UT 84020-2612
- **Mailing address phone:** (385) 215-6097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 61292 | KS | Yes |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 03/26/2024
