Organization
WHEAT STATE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DEWITTE ROSEL DDS (OWNER/MEMBER)
(913) 687-5353
Entity
Organization
Contact information
Practice address
11150 S. PFLUMM RD, LENEXA, KS 66215-3506
(913) 782-0674
(913) 469-5104
Mailing address
11150 S. PFLUMM RD, LENEXA, KS 66215-3506
(913) 782-0674
(913) 469-5104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
11/30/2022
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