# ANTIOCH DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790940872
- **Authorized official:** IRWIN N. BOE JR. DDS (PRESIDENT)
- **Authorized official phone:** (913) 642-0031

## Contact information

- **Practice address:** 8650 W 95TH ST STE 2, OVERLAND PARK, KS 66212-3246
- **Practice address phone:** (913) 642-0031
- **Practice address fax:** (913) 642-2188
- **Mailing address:** 8650 W 95TH ST STE 2, OVERLAND PARK, KS 66212-3246
- **Mailing address phone:** (913) 642-0031
- **Mailing address fax:** (913) 642-2188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60303 | KS | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 06/13/2013