Organization
MY DENTIST WESTERN, KC, PA
Active
Parent organization
MY DENTIST HOLDINGS, LLC
Other names
My Dentist
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY DENTIST HOLDINGS, LLC
Authorized official
JENNIFER CHAMBERS DDS (CHIEF DENTAL DIRECTOR)
(405) 753-1237
Entity
Organization
Contact information
Practice address
7848 STATE AVE, KANSAS CITY, KS 66112-2417
(913) 299-1001
(913) 299-1002
Mailing address
PO BOX 702620, TULSA, OK 74170-2620
(405) 286-9024
(405) 286-9088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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