Organization
MARK D. GILROY DDS, PA
Active
Other names
Gilroy Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GILROY DDS (OWNER/DOCTOR)
(913) 681-1900
Entity
Organization
Contact information
Practice address
11826 W 135TH ST, OVERLAND PARK, KS 66221-9399
(913) 681-1900
(913) 681-3136
Mailing address
11826 W 135TH ST, OVERLAND PARK, KS 66221-9399
(913) 681-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174697734
—
KS
05
—
1437645025
—
KS
Enumeration date
11/30/2020
Last updated
11/30/2020
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