Organization
LEAWOOD FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDIS WU DDS (DENTIST)
(913) 681-5500
Entity
Organization
Contact information
Practice address
4839 W 135TH ST, LEAWOOD, KS 66224-8901
(913) 681-5500
Mailing address
4839 W 135TH ST, LEAWOOD, KS 66224-8901
(913) 681-5500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60650
KS
Other
Enumeration date
08/20/2013
Last updated
02/25/2014
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