Organization
OLATHE SOUTH DENTISTRY, PA
Active
Other names
Olathe South Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA RAWALT DDS (OWNER)
(913) 286-4548
Entity
Organization
Contact information
Practice address
16587 W 151ST ST, OLATHE, KS 66062
(913) 286-4548
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
05/11/2022
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