Organization
SWEET TOOTH SHAWNEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ROBERT DOBBINS DDS (CEO)
(480) 343-5072
Entity
Organization
Contact information
Practice address
15933 W 65TH ST, SHAWNEE, KS 66217-9342
(913) 239-0703
Mailing address
15933 W 65TH ST, SHAWNEE, KS 66217-9342
(913) 239-0703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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