Individual
DAVID GREENHALGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6345 LONG ST, SHAWNEE, KS 66216-2559
(913) 631-2400
(913) 631-0545
Mailing address
6345 LONG ST, SHAWNEE, KS 66216-2559
(913) 631-2400
(913) 631-0545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11448
MO
1223G0001X
General Practice Dentistry
Primary
4755
KS
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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