Organization
PERFECT SMILES DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY D BRIDENSTINE DDS (PRESIDENT OWNER)
(913) 631-2677
Entity
Organization
Contact information
Practice address
8650 CANDLELIGHT LANE, SUITE ONE, LENEXA, KS 66215
(913) 631-2677
(913) 631-3534
Mailing address
8308 ALLMAN RD, LENEXA, KS 66219
(913) 631-2677
(913) 631-3534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KS6672
KS
Other
Enumeration date
01/23/2006
Last updated
08/22/2020
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