Organization
I SMILE KCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEANN RICHARDS BEHRENS DDS (OWNER DENTIST)
(913) 299-6699
Entity
Organization
Contact information
Practice address
6420 PARALLEL PKWY, KANSAS CITY, KS 66102-1043
(913) 299-6699
(913) 299-2256
Mailing address
6420 PARALLEL PKWY, KANSAS CITY, KS 66102-1043
(913) 299-6699
(913) 299-2256
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6422
KS
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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