Organization
SECURE OF VICTORY HILLS KS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP PARK DDS (OWNER)
(918) 376-6600
Entity
Organization
Contact information
Practice address
7716 STATE AVE, KANSAS CITY, KS 66112-2820
(918) 376-6600
Mailing address
7716 STATE AVE, KANSAS CITY, KS 66112-2820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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