Organization
PETAL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASHONI SHAH DDS (OWNER/DENTIST)
(913) 444-9329
Entity
Organization
Contact information
Practice address
9322 W 87TH ST, OVERLAND PARK, KS 66212-3778
(913) 444-9329
Mailing address
9322 W 87TH ST, OVERLAND PARK, KS 66212-3778
(913) 444-9329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
10/31/2022
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