Organization
GARYDEANZUCK, DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DEAN ZUCK DDS (PRESIDENT)
(913) 381-2400
Entity
Organization
Contact information
Practice address
4121 W 83RD ST, SUITE 200, PRAIRIE VILLAGE, KS 66208-5300
(913) 381-2400
(913) 381-2564
Mailing address
4121 W 83RD ST, SUITE 200, PRAIRIE VILLAGE, KS 66208-5300
(913) 381-2400
(913) 381-2564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4570
KS
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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