Individual
DR. BERT WILLIAM OETTMEIER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 COLLEGE BLVD, SUITE 270, LEAWOOD, KS 66211-1761
(913) 491-6553
(913) 491-6559
Mailing address
4501 COLLEGE BLVD, SUITE 270, LEAWOOD, KS 66211-1761
(913) 491-6553
(913) 491-6559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5419
KS
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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