Individual
DR. ANDREW MARK SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
125 E PARK ST, OLATHE, KS 66061-3428
(913) 782-7580
Mailing address
125 E PARK ST, OLATHE, KS 66061-3428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2011017417
MO
1223G0001X
General Practice Dentistry
Primary
60914
KS
Other
Enumeration date
07/07/2011
Last updated
09/13/2018
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