Organization
PEDIATRIC SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA THOMAS DDS (OWNER/DENTIST)
(913) 649-5437
Entity
Organization
Contact information
Practice address
11401 NALL AVENUE, LEAWOOD, KS 66211-1674
(913) 649-5437
Mailing address
11401 NALL AVE, LEAWOOD, KS 66211-1893
(913) 649-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
07/17/2008
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