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Individual

DR. CRAIG MATTHEW ALEXANDER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
450 S PARKER ST, OLATHE, KS 66061-4231
(913) 829-1438
(913) 829-1482
Mailing address
450 S PARKER ST, OLATHE, KS 66061-4231
(913) 829-1438
(913) 829-1482

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6304
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12493031
BLUE CROSS BLUE SHIELD
KS
Enumeration date
02/14/2006
Last updated
07/08/2007
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