# KIRBY L KAVANAUGH DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Zona Rosa Dental, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396423588
- **Authorized official:** KIRBY L KAVANAUGH DDS (DENTIST/OWNER)
- **Authorized official phone:** (816) 741-6200

## Contact information

- **Practice address:** 4103 NW BARRY ROAD, KANSAS CITY, MO 64154
- **Practice address phone:** (816) 741-6200
- **Practice address fax:** (816) 741-9057
- **Mailing address:** 4103 NW BARRY ROAD, KANSAS CITY, MO 64154
- **Mailing address phone:** (816) 741-6200
- **Mailing address fax:** (816) 741-9057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023