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Organization
LOVE TO SMILE ONSITE, LLC
Active
Organization
LOVE TO SMILE ONSITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A JACKSON DDS (PARTNER DENTIST)
(913) 491-1200
Entity
Organization
Contact information
Practice address
10925 ANTIOCH RD STE 201, OVERLAND PARK, KS 66210-2119
(913) 491-1200
(913) 491-1205
Mailing address
10925 ANTIOCH RD STE 201, OVERLAND PARK, KS 66210-2119
(913) 491-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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