Organization
KANSAS DENTAL TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERRY (OWNER)
(717) 759-4375
Entity
Organization
Contact information
Practice address
7848 STATE AVE, KANSAS CITY, KS 66112-2417
(816) 256-2787
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
01/27/2025
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