Organization
HEARTLAND DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ERNZEN (ADMINISTRATOR)
(913) 682-1000
Entity
Organization
Contact information
Practice address
3507 S 4TH ST, LEAVENWORTH, KS 66048-5013
(913) 682-1000
(913) 682-6131
Mailing address
3507 S 4TH ST, LEAVENWORTH, KS 66048-5013
(913) 682-1000
(913) 682-6131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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