Organization
JRK DENTISTRY LLC
Active
Other names
The Smile Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANN KIRWAN DDS (DENTIST)
(913) 651-9800
Entity
Organization
Contact information
Practice address
309 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-9800
(913) 651-8559
Mailing address
309 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-9800
(913) 651-8559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
KS
1223P0221X
Pediatric Dentistry
—
KS
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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