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Organization
PV DENTAL, LLC
Active
Organization
PV DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA WEDDLE (INSURANCE SPECIALIST)
(816) 229-4560
Entity
Organization
Contact information
Practice address
7501 MISSION RD STE 102, PRAIRIE VILLAGE, KS 66208-4216
(913) 426-9997
Mailing address
7501 MISSION RD, PRAIRIE VILLAGE, KS 66208-4217
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
10/25/2022
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