Individual
TYSON E MARRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3700 W 83RD ST, SUITE 203, PRAIRIE VILLAGE, KS 66208-5120
(913) 381-5194
(913) 381-5215
Mailing address
3700 W 83RD ST, SUITE 203, PRAIRIE VILLAGE, KS 66208-5120
(913) 381-5194
(913) 381-5215
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30084
IA
Other
Enumeration date
05/17/2007
Last updated
07/09/2008
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