Organization
GENMAT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW H DRAPER DDS (OWNER)
(385) 215-6097
Entity
Organization
Contact information
Practice address
1320 CENTRAL AVE, KANSAS CITY, KS 66102-5030
(913) 342-5280
Mailing address
12180 S 300 E UNIT 270, DRAPER, UT 84020-2612
(385) 215-6097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61292
KS
Other
Enumeration date
02/13/2018
Last updated
03/26/2024
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