Organization
THE VILLAGE DENTIST
Active
Parent organization
ELITE FAMILY DENTAL PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE FAMILY DENTAL PA
Authorized official
DR. JENNIFER MCAROY DDS (OWNER/PRESIDENT)
(913) 789-7455
Entity
Organization
Contact information
Practice address
6925 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208-2618
(913) 789-7455
(913) 789-9809
Mailing address
6925 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208-2618
(913) 789-7455
(913) 789-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60259
KS
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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