Organization
OVERLAND PARK DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KIMES DDS (OWNER)
(660) 826-0448
Entity
Organization
Contact information
Practice address
4400 S LIMIT AVE, SUITE C, SEDALIA, MO 65301-1179
(660) 826-0448
Mailing address
4400 S LIMIT AVE, SUITE C, SEDALIA, MO 65301-1179
(660) 826-0448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6058
KS
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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