Individual
THOMAS P SHORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5930 ROE AVE, SUITE 200, MISSION, KS 66205-3050
(913) 432-8700
(913) 432-8702
Mailing address
5930 ROE AVE, SUITE 200, MISSION, KS 66205-3050
(913) 432-8700
(913) 432-8702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6064
KS
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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