Organization
SMILE LINE STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY KERNS DDS (OWNER/DOCTOR)
(913) 602-4423
Entity
Organization
Contact information
Practice address
11526 ASH STREET, LEAWOOD, KS 66211
(913) 602-4423
Mailing address
11526 ASH STREET, LEAWOOD, KS 66211
(913) 602-4423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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