Organization
SENIOR DENTAL CARE OF IN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREN FLESHER DDS (OWNER)
(913) 594-3088
Entity
Organization
Contact information
Practice address
7101 NW 150TH ST STE 100, OKLAHOMA CITY, OK 73142-9716
(913) 594-3088
Mailing address
8500 W 110TH ST STE 450, OVERLAND PARK, KS 66210-4029
(913) 594-3088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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