Organization
ANTHONY MARENGO JR. DDS, PA
Active
Other names
Esthetic Enhancement LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE SCHLOSS (CHIEF OPERATING OFFICER)
(913) 829-9222
Entity
Organization
Contact information
Practice address
16103 W 135TH ST, OLATHE, KS 66062-1516
(913) 829-9222
Mailing address
16103 W 135TH ST, OLATHE, KS 66062-1516
(913) 829-9222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6310
KS
Other
Enumeration date
02/11/2015
Last updated
10/14/2015
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