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15834 Shawnee Mission Pkwy Shawnee KS 66217-9326 | |
| (913) 631-0866 | |
| (913) 631-0865 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15834 Shawnee Mission Pkwy, Shawnee, Kansas |
| Authorized Official Name and Position | Pardeep Gill (OWNER) |
| Authorized Official Contact | 9136310866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | 15834 Shawnee Mission Pkwy Shawnee KS 66217-9326 Ph: (913) 631-0866 |
| NPI Number | 1871987545 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871987545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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