Organization
MIDWEST ORAL & MAXILLOFACIAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D GREEN (D.D.S.)
(913) 334-6000
Entity
Organization
Contact information
Practice address
11551 GRANADA LANE, 100, LEAWOOD, KS 66211-1914
(913) 491-4488
(913) 491-5073
Mailing address
11551 GRANADA LANE, 100, LEAWOOD, KS 66211-1914
(913) 491-4488
(913) 491-5073
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
11/15/2012
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