Organization
DONALD D. MARDIS, DDS, PA
Active
Parent organization
MY DENTIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY DENTIST
Authorized official
JENNIFER CHAMBERS DDS (OWNER/ MY DENTIST)
(405) 286-9024
Entity
Organization
Contact information
Practice address
7450 QUIVIRA RD, SHAWNEE MISSION, KS 66216-3526
(913) 217-7536
(913) 766-1019
Mailing address
PO BOX 702620, TULSA, OK 74170-2620
(405) 286-9024
(405) 286-9088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60859
KS
Other
Enumeration date
12/03/2012
Last updated
06/27/2013
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