Organization
SMILES OF KANSAS CITY DENTAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN LAREE BERKVAN D.D.S. (OWNER/DENTIST)
(913) 254-1300
Entity
Organization
Contact information
Practice address
10127 CHERRY #E, LENEXA, KS 66220
(913) 254-1300
Mailing address
10127 CHERRY #E, LENEXA, KS 66220
(913) 254-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS.60379
KS
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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