Organization
CORINTH DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA MARIE CANZONERE DDS (DENTIST/OWNER)
(913) 341-9600
Entity
Organization
Contact information
Practice address
3700 W 83RD ST, SUITE 217, PRAIRIE VILLAGE, KS 66208-5120
(913) 341-9600
(913) 341-6328
Mailing address
3700 W 83RD ST, SUITE 217, PRAIRIE VILLAGE, KS 66208-5120
(913) 341-9600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60394
KS
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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