Individual
DR. ANDREW BLAKE VANBLARCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5000 W 95TH ST STE 290, PRAIRIE VILLAGE, KS 66207-3300
(913) 649-4946
(913) 649-2460
Mailing address
5000 W 95TH ST STE 290, PRAIRIE VILLAGE, KS 66207-3300
(913) 649-4946
(913) 649-2460
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
60277
KS
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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