Individual
BLAIR EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 W 83RD ST, STE 137, PRAIRIE VILLAGE, KS 66208-5323
(913) 381-4700
(913) 381-2673
Mailing address
4121 W 83RD ST, STE 137, PRAIRIE VILLAGE, KS 66208-5323
(913) 381-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2009008936
MO
1223G0001X
General Practice Dentistry
60554
KS
Other
Enumeration date
06/05/2008
Last updated
06/28/2022
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