Organization
COMPLETE DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA HASKETT DSDF (OFFICE MANAGER)
(913) 317-6453
Entity
Organization
Contact information
Practice address
11150 PFLUMM ROAD, SUITE 100, LENEXA, KS 66215
(913) 317-6453
(913) 469-5104
Mailing address
11150 S PFLUMM RD, SUITE 100, LENEXA, KS 66215-4810
(913) 317-6453
(913) 469-5104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60076
KS
1223G0001X
General Practice Dentistry
Primary
6144
KS
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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