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Organization
NICKIE L. PERRY, DDS, PA
Active
Organization
NICKIE L. PERRY, DDS, PA
Active
Other names
Cedar Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NICKIE L. PERRY DDS (PRESIDENT)
(913) 764-6367
Entity
Organization
Contact information
Practice address
304 S CLAIRBORNE RD STE 100, OLATHE, KS 66062-4107
(913) 764-6367
(913) 764-6387
Mailing address
304 S CLAIRBORNE RD STE 100, OLATHE, KS 66062-4107
(913) 764-6367
(913) 764-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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