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Organization

ANTIOCH DENTISTRY PA

Active
Other names
Antioch Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAYLOR SUTHERLAND DDS (OWNER)
(913) 671-7066
Entity
Organization

Contact information

Practice address
5754 ANTIOCH RD, MERRIAM, KS 66202-2015
(913) 671-7066
(913) 671-7058
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/02/2014
Last updated
05/11/2022
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