Kaw Valley Family Dental Llc | |
10601 Kaw Dr Edwardsville KS 66111-1130 | |
(913) 441-3373 | |
Not Available |
Full Name | Kaw Valley Family Dental Llc |
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Speciality | Dentist |
Location | 10601 Kaw Dr, Edwardsville, Kansas |
Authorized Official Name and Position | John Mcknight (OWNER) |
Authorized Official Contact | 9132900014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kaw Valley Family Dental Llc 10601 Kaw Dr Edwardsville KS 66111-1130 Ph: (913) 441-3373 | Kaw Valley Family Dental Llc 10601 Kaw Dr Edwardsville KS 66111-1130 Ph: (913) 441-3373 |
NPI Number | 1114592938 |
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Provider Enumeration Date | 05/24/2021 |
Last Update Date | 05/24/2021 |
Identifier | Type | State | Issuer |
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1114592938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |