Organization
KC COMPLETE PROSTHODONTICS PA
Active
Other names
KC Complete Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANDREW SPARKS DMD (OWNER)
(660) 216-2514
Entity
Organization
Contact information
Practice address
11401 NALL AVE STE 102, LEAWOOD, KS 66211-1850
(913) 703-5599
Mailing address
11401 NALL AVE STE 102, LEAWOOD, KS 66211-1850
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
61139
KS
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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