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Organization
ARBOR CREEK DENTAL PA
Active
Organization
ARBOR CREEK DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REXANNA JO KNAPP (OFFICE MANAGER)
(620) 232-2273
Entity
Organization
Contact information
Practice address
15990 S BRADLEY DRIVE, SUITE 102, OLATHE, KS 66062
(913) 390-5300
(913) 390-5310
Mailing address
15990 S BRADLEY DRIVE, SUITE 102, OLATHE, KS 66062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60140
KS
122300000X
Dentist
60336
KS
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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