Organization
DENTAL PROFESSIONALS OF KANSAS, PA
Active
Parent organization
DENTAL PROFESSIONALS OF KANSAS, PA
Other names
Family Orthodontics of Olathe
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF KANSAS, PA
Authorized official
LORI EDMONDS (CREDENTIALING COORDINATOR)
(217) 540-8468
Entity
Organization
Contact information
Practice address
2001 E SANTA FE ST, OLATHE, KS 66062-1608
(913) 815-3293
Mailing address
2001 E SANTA FE ST, OLATHE, KS 66062-1608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/29/2016
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