Organization
ORAL & FACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLA L SELLERS (OFFICE MANAGER)
(913) 381-5194
Entity
Organization
Contact information
Practice address
3700 W 83RD ST, SUITE 203, PRAIRIE VILLAGE, KS 66208-5121
(913) 381-5194
Mailing address
PO BOX 411863, KANSAS CITY, MO 64141-1863
(913) 381-5194
(913) 381-5215
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
07/21/2022
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