Individual
DR. THEODORE CONSTANTINE DIMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4121 W. 83 ST., SUITE 230, PRAIRIE VILLAGE, KS 66208-5303
(913) 649-1171
(816) 524-4439
Mailing address
4121 W. 83 ST., SUITE 230, PRAIRIE VILLAGE, KS 66208-5303
(913) 649-1171
(816) 524-4439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015149
MO
122300000X
Dentist
Primary
6627
KS
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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