| Garydeanzuck, Dds,pa | |
|
4121 W 83rd St Suite 200 Prairie Village KS 66208-5300 | |
| (913) 381-2400 | |
| (913) 381-2564 |
| Full Name | Garydeanzuck, Dds,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4121 W 83rd St, Prairie Village, Kansas |
| Authorized Official Name and Position | Gary Dean Zuck (PRESIDENT) |
| Authorized Official Contact | 9133812400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garydeanzuck, Dds,pa 4121 W 83rd St Suite 200 Prairie Village KS 66208-5300 Ph: (913) 381-2400 | Garydeanzuck, Dds,pa 4121 W 83rd St Suite 200 Prairie Village KS 66208-5300 Ph: (913) 381-2400 |
| NPI Number | 1881711083 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881711083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4570 (Kansas) | Primary |
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