Organization
GRANT LAHAM, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT LAHAM DMD (MEMBER)
(316) 209-0474
Entity
Organization
Contact information
Practice address
10351 MASTIN ST, OVERLAND PARK, KS 66212
(316) 209-0474
Mailing address
9911 E 21ST ST N APT 412, WICHITA, KS 67206-3525
(316) 209-0474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
08/26/2022
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