Organization
WYCLIFF FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE A LANE DDS (OWNER)
(913) 722-0610
Entity
Organization
Contact information
Practice address
10400 W 103RD ST STE 21, OVERLAND PARK, KS 66214-2664
(913) 722-0610
(913) 722-2893
Mailing address
10400 W 103RD ST STE 21, OVERLAND PARK, KS 66214-2664
(913) 722-0610
(913) 722-2893
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/28/2023
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