| Mydentist-state Ave. | |
|
7848 State Ave Kansas City KS 66112-2417 | |
| (913) 299-1001 | |
| Not Available |
| Full Name | Mydentist-state Ave. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7848 State Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-state Ave. 7848 State Ave Kansas City KS 66112-2417 Ph: () - | Mydentist-state Ave. 7848 State Ave Kansas City KS 66112-2417 Ph: (913) 299-1001 |
| NPI Number | 1376963231 |
|---|---|
| Provider Enumeration Date | 04/18/2014 |
| Last Update Date | 04/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376963231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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