Organization
MORENO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE L BIVENS (OFFICE MANAGER)
(913) 647-1900
Entity
Organization
Contact information
Practice address
753 STATE AVE, STE 375, KANSAS CITY, KS 66101-2516
(913) 647-1900
(913) 647-1901
Mailing address
753 STATE AVE, STE 375, KANSAS CITY, KS 66101-2516
(913) 647-1900
(913) 647-1901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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