Organization
UPCARE DENTAL OLATHE LLC
Active
Other names
Upcare Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAM PARBHU DDS (CEO)
(314) 550-3005
Entity
Organization
Contact information
Practice address
790 N RIDGEVIEW RD, OLATHE, KS 66061-2900
(816) 237-0805
Mailing address
3719 MADISON AVE, KANSAS CITY, MO 64111-3813
(314) 550-3005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61521
DDS LICENSE
KS
Enumeration date
04/03/2020
Last updated
04/03/2020
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