| Pearly Whites Dental Care, L.l.c. | |
|
2300 Hutton Rd Ste 102 Kansas City KS 66109-4424 | |
| (913) 721-3525 | |
| (913) 721-3627 |
| Full Name | Pearly Whites Dental Care, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 2300 Hutton Rd Ste 102, Kansas City, Kansas |
| Authorized Official Name and Position | Caryn J Baker (DENTIST/OWNER) |
| Authorized Official Contact | 9137213525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearly Whites Dental Care, L.l.c. 2300 Hutton Rd Ste 102 Kansas City KS 66109-4424 Ph: (913) 721-3525 | Pearly Whites Dental Care, L.l.c. 2300 Hutton Rd Ste 102 Kansas City KS 66109-4424 Ph: (913) 721-3525 |
| NPI Number | 1417209032 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 10/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417209032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60131 (Kansas) | Primary |
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