Individual
DR. KELLY D BRIDENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8650 CANDLELIGHT LN, SUITE 1, LENEXA, KS 66215
(913) 631-2677
(913) 631-3534
Mailing address
8650 CANDLELIGHT LN, SUITE 1, LENEXA, KS 66215
(913) 631-2677
(913) 631-3534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS6672
KS
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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