| Genmat Op, Pa | |
|
11044 Quivira Rd Overland Park KS 66210-1239 | |
| (913) 469-8010 | |
| Not Available |
| Full Name | Genmat Op, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11044 Quivira Rd, Overland Park, Kansas |
| Authorized Official Name and Position | Mathew H Draper (OWNER) |
| Authorized Official Contact | 3852156097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genmat Op, Pa 12180 S 300 E Unit 270 Draper UT 84020-2612 Ph: (913) 469-8010 | Genmat Op, Pa 11044 Quivira Rd Overland Park KS 66210-1239 Ph: (913) 469-8010 |
| NPI Number | 1972080588 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972080588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 61292 (Kansas) | Primary |
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