Organization
ANDREW VAN BLARCOM, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BLAKE VAN BLARCOM D.D.S. (PRESIDENT)
(913) 649-4946
Entity
Organization
Contact information
Practice address
5000 WEST 95TH STREET, SUITE NUMBER 290, PRAIRIE VILLAGE, KS 66207
(913) 649-4946
(913) 649-2460
Mailing address
5000 WEST 95TH STREET, SUITE NUMBER 290, PRAIRIE VILLAGE, KS 66207
(913) 649-4946
(913) 649-2460
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
60277
KS
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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