Individual
MICHAEL SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13772 S BLACKBOB RD, OLATHE, KS 66062-1932
(913) 469-8019
Mailing address
13772 S BLACKBOB RD, OLATHE, KS 66062-1932
(913) 469-8019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61375
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992956486
DR. DOUGLAS J SJOGREN
KS
Enumeration date
06/14/2018
Last updated
06/14/2018
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