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Organization

KANSAS CITY KANSAS DENTAL PROFESSIONALS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROL J JONES DDS (PRESIDENT)
(913) 321-4385
Entity
Organization

Contact information

Practice address
753 STATE AVE, KANSAS CITY, KS 66101-2516
(913) 321-4385
Mailing address
753 STATE AVE, KANSAS CITY, KS 66101-2516
(913) 321-4385

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60337
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407988710
KS
05
1841288974
KS
Enumeration date
07/06/2009
Last updated
07/06/2009
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