Organization
GRACE DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OSWALD (OFFICE MANAGER)
(913) 685-9111
Entity
Organization
Contact information
Practice address
12611 ANTIOCH RD, OVERLAND PARK, KS 66213-1701
(913) 685-9111
Mailing address
12611 ANTIOCH RD, OVERLAND PARK, KS 66213-1701
(913) 685-9111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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