Organization
VILLAGE MODERN DENTISTRY, PA
Active
Other names
Village Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS P BELL (DDS/OWNER)
(913) 601-5016
Entity
Organization
Contact information
Practice address
7501 MISSION RD STE 102, PRAIRIE VILLAGE, KS 66208-4217
(913) 601-5016
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
03/30/2018
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