Individual
MACKENZIE COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5611 W 134TH TER APT 1718, LEAWOOD, KS 66209-4060
(316) 519-7485
Mailing address
5611 W 134TH TER APT 1718, LEAWOOD, KS 66209-4060
(316) 519-7485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020022613
MO
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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