Organization
FOXRIDGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA NIEDEREE DMD (DENTIST)
(316) 519-5862
Entity
Organization
Contact information
Practice address
5517 FOXRIDGE DR, MISSION, KS 66202-1556
(316) 519-5862
Mailing address
5715 W 81ST ST, PRAIRIE VILLAGE, KS 66208-4804
(316) 519-5862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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