Organization
SHAWNEE DENTAL GROUP, PA
Active
Other names
Shawnee Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARDEEP GILL DDS (OWNER)
(913) 631-0866
Entity
Organization
Contact information
Practice address
15834 SHAWNEE MISSION PKWY, SHAWNEE, KS 66217-9326
(913) 631-0866
(913) 631-0865
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
05/11/2022
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