| Dental Professionals Llc | |
|
900 E Meadowlark Blvd Derby KS 67037-3465 | |
| (316) 788-2118 | |
| (316) 789-9098 |
| Full Name | Dental Professionals Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 E Meadowlark Blvd, Derby, Kansas |
| Authorized Official Name and Position | Monte Ysidro (BUSINESS MANAGER) |
| Authorized Official Contact | 3167882118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Llc 900 E Meadowlark Blvd Derby KS 67037-3465 Ph: (316) 788-2118 | Dental Professionals Llc 900 E Meadowlark Blvd Derby KS 67037-3465 Ph: (316) 788-2118 |
| NPI Number | 1033661988 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033661988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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