Organization
LARA L TULL RYAN DDS MS PA
Active
Other names
Johnson County Periodontics Dental Implants & Laser Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LARA L TULL RYAN (OWNER)
(913) 491-5548
Entity
Organization
Contact information
Practice address
4601 W. 109TH ST., SUITE 212, OVERLAND PARK, KS 66211
(913) 491-5548
(913) 491-0793
Mailing address
4601 W 109TH ST, SUITE 212, OVERLAND PARK, KS 66211
(913) 491-5548
(913) 491-0793
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60284
KS
Other
Enumeration date
09/30/2005
Last updated
04/27/2016
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