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Organization
CENTRAL AVE DENTAL LLC
Active
Organization
CENTRAL AVE DENTAL LLC
Active
Other names
Central Ave Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW H DRAPER (DDS)
(913) 342-5280
Entity
Organization
Contact information
Practice address
1320 CENTRAL AVE, KANSAS CITY, KS 66102-5030
(913) 342-5280
(816) 533-7170
Mailing address
1320 CENTRAL AVE, KANSAS CITY, KS 66102-5030
(913) 342-5280
(816) 533-7170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61292
KS
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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