Organization
KC FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BRENT DDS (MEMBER)
(816) 668-3251
Entity
Organization
Contact information
Practice address
4034 SHAWNEE MISSION PARKWAY, FAIRWAY, KS 66205
(913) 220-2209
Mailing address
5620 NEOSHO AVE, FAIRWAY, KS 66205-2743
(816) 668-3251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60578
KS
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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