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Organization
UPCARE DENTAL OLATHE LLC
Active
Organization
UPCARE DENTAL OLATHE LLC
Active
Other names
Upcare Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAM PARBHU DDS (CEO)
(314) 550-3005
Entity
Organization
Contact information
Practice address
790 N RIDGEVIEW RD, OLATHE, KS 66061-2900
(816) 237-0805
Mailing address
3719 MADISON AVE, KANSAS CITY, MO 64111-3813
(314) 550-3005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61521
DDS LICENSE
KS
Enumeration date
04/03/2020
Last updated
04/03/2020
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