Organization
TOPEKA PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI HENDERSON DDS (MEMBER)
(785) 691-5223
Entity
Organization
Contact information
Practice address
2445 SW WANAMAKER RD STE 103, TOPEKA, KS 66614-5470
(785) 691-5223
Mailing address
4601 W 6TH ST STE A, LAWRENCE, KS 66049-4129
(785) 691-5223
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/24/2017
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