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Organization

PEARLY WHITES DENTAL CARE, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARYN J BAKER D.D.S. (DENTIST/OWNER)
(913) 721-3525
Entity
Organization

Contact information

Practice address
2300 HUTTON RD STE 102, KANSAS CITY, KS 66109-4424
(913) 721-3525
(913) 721-3627
Mailing address
2300 HUTTON RD STE 102, KANSAS CITY, KS 66109-4424
(913) 721-3525
(913) 721-3627

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60131
KS

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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