Organization
WARD PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDRA SUE WARD D.M.D. (OWNER)
(913) 563-7400
Entity
Organization
Contact information
Practice address
12701 METCALF AVE, SUITE 200, OVERLAND PARK, KS 66213-2617
(913) 563-7400
(913) 563-7402
Mailing address
12701 METCALF AVE, SUITE 200, OVERLAND PARK, KS 66213-2617
(913) 563-7400
(913) 563-7402
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60605
KS
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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