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Organization
ANDREW VAN BLARCOM, DDS, PA
Active
Organization
ANDREW VAN BLARCOM, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BLAKE VAN BLARCOM D.D.S. (PRESIDENT)
(913) 649-4946
Entity
Organization
Contact information
Practice address
5000 WEST 95TH STREET, SUITE NUMBER 290, PRAIRIE VILLAGE, KS 66207
(913) 649-4946
(913) 649-2460
Mailing address
5000 WEST 95TH STREET, SUITE NUMBER 290, PRAIRIE VILLAGE, KS 66207
(913) 649-4946
(913) 649-2460
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
60277
KS
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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