Organization
DENTAL INNOVATIONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W MANROE DDS (OWNER)
(913) 236-8899
Entity
Organization
Contact information
Practice address
11221 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3333
(913) 236-8899
(913) 236-8717
Mailing address
11221 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3333
(913) 236-8899
(913) 236-8717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6883
KS
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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