Organization
KOLARIK DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KOLARIK (OWNER)
(913) 888-6220
Entity
Organization
Contact information
Practice address
9226 PFLUMM RD, LENEXA, KS 66215-3346
(913) 888-6220
Mailing address
9226 PFLUMM RD, LENEXA, KS 66215-3346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60807
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126572154
INDIVIDUAL NPI
KS
Enumeration date
01/20/2015
Last updated
01/20/2015
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