Individual
DR. NICHOLAS J MEHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11551 GRANADA ST STE 200, LEAWOOD, KS 66211-1444
(913) 642-3939
Mailing address
1300 MEADOW LAKE TER, KANSAS CITY, MO 64114-1626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62149
KS
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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