# SUNNYBROOK DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunnybrook Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578006664
- **Authorized official:** DR. DANIEL BEDNARCZYK (OWNER/MANAGER)
- **Authorized official phone:** (913) 829-7000

## Contact information

- **Practice address:** 21645 COLLEGE BLVD, OLATHE, KS 66061-7378
- **Practice address phone:** (913) 829-7000
- **Mailing address:** 21645 COLLEGE BLVD, OLATHE, KS 66061
- **Mailing address phone:** (913) 829-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60314 | KS | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016