Individual
KELLY HUNTER TOOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 WEST 83RD STREET, SUITE 215, PRAIRIE VILLAGE, KS 66208
(913) 381-5292
(913) 381-5293
Mailing address
3700 WEST 83RD STREET, SUITE 215, PRAIRIE VILLAGE, KS 66208
(913) 381-5292
(913) 381-5293
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
013722
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5874
KS
Other
Enumeration date
07/26/2006
Last updated
10/08/2012
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