Individual
DR. CLIFFORD WINTERS VANBLARCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6834 LINDEN ST, PRAIRIE VILLAGE, KS 66208-1426
(913) 432-5025
Mailing address
6834 LINDEN ST, PRAIRIE VILLAGE, KS 66208-1426
(913) 432-5025
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4875
KS
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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