Organization
NICKIE L. PERRY, DDS, PA
Active
Other names
Cedar Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NICKIE L. PERRY DDS (PRESIDENT)
(913) 764-6367
Entity
Organization
Contact information
Practice address
304 S CLAIRBORNE RD STE 100, OLATHE, KS 66062-4107
(913) 764-6367
(913) 764-6387
Mailing address
304 S CLAIRBORNE RD STE 100, OLATHE, KS 66062-4107
(913) 764-6367
(913) 764-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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