Organization
IMAGE DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA SOBOLEVSKAYA D.D.S. (DENTIST)
(913) 402-0009
Entity
Organization
Contact information
Practice address
8160 W 135TH ST, OVERLAND PARK, KS 66223-1112
(913) 402-0009
(913) 402-0016
Mailing address
8160 W 135TH ST, OVERLAND PARK, KS 66223-1112
(913) 402-0009
(913) 402-0016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60200
KS
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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