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Organization

KIRBY L KAVANAUGH DDS LLC

Active
Other names
Zona Rosa Dental, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KIRBY L KAVANAUGH DDS (DENTIST/OWNER)
(816) 741-6200
Entity
Organization

Contact information

Practice address
4103 NW BARRY ROAD, KANSAS CITY, MO 64154
(816) 741-6200
(816) 741-9057
Mailing address
4103 NW BARRY ROAD, KANSAS CITY, MO 64154
(816) 741-6200
(816) 741-9057

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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