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Individual

MRS. ELISA STORBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 648-2266
Mailing address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 648-2266

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11086
KS
124Q00000X
Dental Hygienist
2009020786
MO
124Q00000X
Dental Hygienist
6538
AZ

Other

Enumeration date
02/11/2009
Last updated
07/21/2022
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