Individual
GORDON R. EDIGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12260 STATE LINE RD, LEAWOOD, KS 66209-1256
(913) 345-2929
(913) 345-0376
Mailing address
12260 STATE LINE RD, LEAWOOD, KS 66209-1256
(913) 345-2929
(913) 345-0376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6794
KS
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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