Individual
DR. NADER RASTGOFTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 648-2266
(913) 768-1944
Mailing address
405 S CLAIRBORNE RD STE 2, OLATHE, KS 66062-1774
(913) 730-3677
(913) 768-1944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61222
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201130280A
—
KS
Enumeration date
08/05/2015
Last updated
03/23/2021
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