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Organization
MICHAEL VANDENBERG, D.D.S., P.A.
Active
Organization
MICHAEL VANDENBERG, D.D.S., P.A.
Active
Other names
Michael E. Vandenberg DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. VANDENBERG DDS (OWNER)
(913) 888-6220
Entity
Organization
Contact information
Practice address
9226 PFLUMM RD, LENEXA, KS 66215-3346
(913) 888-6220
(913) 888-8464
Mailing address
9226 PFLUMM RD, LENEXA, KS 66215-3346
(913) 888-6220
(913) 888-8464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376561704
INDIVIDUAL NPI NUMBER
KS
Enumeration date
03/22/2007
Last updated
08/22/2020
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