Organization
SIH MOKAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY TULL DDS (OWNER/PRINCIPAL)
(913) 254-4065
Entity
Organization
Contact information
Practice address
4400 SHAWNEE MISSION PKWY STE 208, FAIRWAY, KS 66205-2518
(913) 254-4065
(913) 747-1001
Mailing address
4400 SHAWNEE MISSION PKWY STE 208, FAIRWAY, KS 66205-2518
(913) 254-4065
(913) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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