Organization
THE SMILE CENTRE LP
Active
Other names
The Smile Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E. KITTLE DDS (OWNER)
(913) 651-9800
Entity
Organization
Contact information
Practice address
309 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-9800
Mailing address
309 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60070
KS
1223G0001X
General Practice Dentistry
60574
KS
1223G0001X
General Practice Dentistry
60953
KS
1223P0221X
Pediatric Dentistry
6806
KS
Other
Enumeration date
01/22/2007
Last updated
04/23/2014
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