Organization
EMERGENCY DENTAL OF KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKKI LIEBERTH (OFFICE MANAGER)
(402) 932-9413
Entity
Organization
Contact information
Practice address
3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120
(785) 989-4911
Mailing address
3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61316
KS
Other
Enumeration date
10/10/2017
Last updated
01/03/2018
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