Individual
DR. MARK W. MANROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11221 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3333
(913) 236-8899
(913) 236-8717
Mailing address
11221 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3333
(913) 236-8899
(913) 236-8717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6883
KS
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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