Individual
NICHOLAS KONZEN DORAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8700 W 151ST ST, OVERLAND PARK, KS 66221-8705
(913) 647-8700
Mailing address
4516 EATON ST, KANSAS CITY, KS 66103-3529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61789
KS
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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