Organization
ADVANCED DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRWIN N BOE JR. D.D.S.,M.S (DENTIST)
(913) 557-3333
Entity
Organization
Contact information
Practice address
21 W WEA ST, PAOLA, KS 66071-1462
(913) 557-3333
(913) 557-9191
Mailing address
21 W WEA ST, PAOLA, KS 66071-1462
(913) 557-3333
(913) 557-9191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60303
KS
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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