Organization
SAFDER ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSOOR B SAFDER DDS, MSD (OWNER DENTIST)
(913) 206-2758
Entity
Organization
Contact information
Practice address
4121 W 83RD ST STE 216, PRAIRIE VILLAGE, KS 66208-5323
(913) 206-2758
Mailing address
4121 W 83RD ST STE 216, PRAIRIE VILLAGE, KS 66208-5323
(913) 206-2758
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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