Organization
UNIVERSITY PARK DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W. HERRE D.D.S. (OWNER)
(913) 491-4466
Entity
Organization
Contact information
Practice address
11201 NALL AVE, SUITE 120, LEAWOOD, KS 66211-1669
(913) 491-4466
(913) 469-1797
Mailing address
11201 NALL AVE, SUITE 120, LEAWOOD, KS 66211-1669
(913) 491-4466
(913) 469-1797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5751
KS
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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