Organization
AFFORDABLE DENTAL OF OLATHE, LLC
Active
Other names
Affordable Dental of Leavenworth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M CONRAD JOURNEE DDS (DENTIST/OWNER)
(816) 392-3112
Entity
Organization
Contact information
Practice address
920 6TH AVE, MEDICAL ARTS BLDG, SUITE 101, LEAVENWORTH, KS 66048-3225
(913) 682-2595
(913) 682-2595
Mailing address
401 S CLAIRBORNE RD, SUITE 201, OLATHE, KS 66062-1735
(913) 839-1792
(913) 839-1792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60842
KS
1223G0001X
General Practice Dentistry
7100
KS
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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