Organization
LEAVENWORTH FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCKNIGHT (OWNER)
(913) 682-1550
Entity
Organization
Contact information
Practice address
4500 S 4TH ST, LEAVENWORTH, KS 66048-5041
(913) 682-1550
(913) 682-1545
Mailing address
4500 S 4TH ST, LEAVENWORTH, KS 66048-5041
(913) 682-1550
(913) 682-1545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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