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Organization

THOMAS P. SHORTELL DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS SHORTELL DDS (OWNER)
(913) 432-8700
Entity
Organization

Contact information

Practice address
5930 ROE AVE STE 200, MISSION, KS 66205-3062
(913) 432-8700
(913) 273-7491
Mailing address
5930 ROE AVE STE 200, MISSION, KS 66205-3062
(913) 432-8700

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/22/2022
Last updated
06/22/2022
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