Organization
BUCCAL UP DENTAL LENEXA LLC
Active
Other names
Dentistry for You Lenexa
Organization subpart
No
Provider details
NPI number
Authorized official
BECCA CONDLEY (BILLING/CREDENTIALING SPECIALIST)
(918) 960-3070
Entity
Organization
Contact information
Practice address
13200 W 95TH ST, LENEXA, KS 66215-3731
(913) 888-8333
Mailing address
5314 S YALE AVE STE 400, TULSA, OK 74135-6271
(918) 960-3070
(539) 867-1236
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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