Organization
KIENE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL VIELHAUER (OFFICE MANAGER)
(913) 631-5622
Entity
Organization
Contact information
Practice address
11005 W 60TH ST, STE. 240, SHAWNEE, KS 66203-2913
(913) 631-5622
(913) 631-9299
Mailing address
11005 W 60TH ST, STE. 240, SHAWNEE, KS 66203-2913
(913) 631-5622
(913) 631-9299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6285
KS
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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