Kc Complete Prosthodontics | |
11401 Nall Ave Ste 102 Leawood KS 66211-1850 | |
(913) 703-5599 | |
Not Available |
Full Name | Kc Complete Prosthodontics |
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Speciality | Dentist - Prosthodontics |
Location | 11401 Nall Ave Ste 102, Leawood, Kansas |
Authorized Official Name and Position | Robert Andrew Sparks (OWNER) |
Authorized Official Contact | 6602162514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kc Complete Prosthodontics 11401 Nall Ave Ste 102 Leawood KS 66211-1850 Ph: () - | Kc Complete Prosthodontics 11401 Nall Ave Ste 102 Leawood KS 66211-1850 Ph: (913) 703-5599 |
NPI Number | 1306365754 |
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Provider Enumeration Date | 09/18/2017 |
Last Update Date | 09/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306365754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 61139 (Kansas) | Primary |
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