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Organization
JOHNSON COUNTY DENTAL CARE
Active
Organization
JOHNSON COUNTY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A THURLOW D.D.S. (DENTIST)
(913) 341-7440
Entity
Organization
Contact information
Practice address
5329 W 94TH TER, PRAIRIE VILLAGE, KS 66207-2503
(913) 341-7440
(913) 341-6220
Mailing address
5329 W 94TH TER, PRAIRIE VILLAGE, KS 66207-2503
(913) 341-7440
(913) 341-6220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6925
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21597040
BC/BS OF KANSAS CITY
KS
01
—
23327037
BC/BS OF KANSAS CITY
KS
01
—
449032
BC/BS OF KANSAS
KS
01
—
449033
BC/BS OF KANSAS
KS
01
—
479134
BC/BS OF KANSAS
KS
Enumeration date
01/18/2008
Last updated
01/18/2008
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