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Organization

BLUM FAMILY DENTISTRY, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN WAYNE BLUM JR. D.D.S. (DENTIST/OWNER)
(913) 422-5066
Entity
Organization

Contact information

Practice address
216 E 2ND ST, BONNER SPRINGS, KS 66012-1002
(913) 422-5066
(913) 422-8176
Mailing address
216 E 2ND ST, BONNER SPRINGS, KS 66012-1002
(913) 422-5066
(913) 422-8176

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60323
KS

Other

Enumeration date
10/08/2009
Last updated
10/08/2009
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