Organization
OLATHE PEDIATRIC DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT)
(918) 998-0996
Entity
Organization
Contact information
Practice address
12708 S BLACKBOB RD STE B, OLATHE, KS 66062-1409
(913) 225-9749
(913) 490-2910
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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