Organization
SHAWNEE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRWIN N BOE JR. D.D.S.,M.S. (DENTIST)
(913) 962-4400
Entity
Organization
Contact information
Practice address
13430 W 62ND TER, SHAWNEE, KS 66216-1784
(913) 962-4400
(913) 962-1144
Mailing address
13430 W 62ND TER, SHAWNEE, KS 66216-1784
(913) 962-4400
(913) 962-1144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60303
KS
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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