Organization
ROBERT L NELSON DDS MOBILE, LLC
Active
Other names
KC MOBILE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES R CRUTCHFIELD (MANAGER)
(816) 807-7092
Entity
Organization
Contact information
Practice address
9608 W 123RD ST, OVERLAND PARK, KS 66213-1689
(816) 707-7092
(913) 273-4712
Mailing address
9608 W 123RD ST, OVERLAND PARK, KS 66213-1689
(816) 707-7092
(913) 273-4712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5212
KS
Other
Enumeration date
01/28/2016
Last updated
01/29/2016
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