Individual
DR. KEVIN MICHAEL MADJARAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 POPE AVENUE, US ARMY DENTAL ACTIVITY, FT. LEAVENWORTH, KS 66027
(785) 239-7241
(785) 239-7245
Mailing address
2513 BENT OAK CT, PLATTE CITY, MO 64079-7625
(785) 239-7241
(785) 239-7245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
021957
OH
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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