Individual
DR. KARL A BREUCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15095 W 123RD ST, OLATHE, KS 66062-6964
(913) 782-6533
(913) 782-6653
Mailing address
7521 W 143RD TER, OVERLAND PARK, KS 66223-2316
(913) 814-9455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7185
KS
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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