| Grace Dental Group, Llc | |
|
12611 Antioch Rd Overland Park KS 66213-1701 | |
| (913) 685-9111 | |
| Not Available |
| Full Name | Grace Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 12611 Antioch Rd, Overland Park, Kansas |
| Authorized Official Name and Position | Angela Oswald (OFFICE MANAGER) |
| Authorized Official Contact | 9136859111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Group, Llc 12611 Antioch Rd Overland Park KS 66213-1701 Ph: (913) 685-9111 | Grace Dental Group, Llc 12611 Antioch Rd Overland Park KS 66213-1701 Ph: (913) 685-9111 |
| NPI Number | 1669119111 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669119111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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