| Sih Mokan, P.a. | |
|
4400 Shawnee Mission Pkwy Ste 208 Fairway KS 66205-2518 | |
| (913) 254-4065 | |
| (913) 747-1001 |
| Full Name | Sih Mokan, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4400 Shawnee Mission Pkwy Ste 208, Fairway, Kansas |
| Authorized Official Name and Position | Gregory Tull (OWNER/PRINCIPAL) |
| Authorized Official Contact | 9132544065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sih Mokan, P.a. 4400 Shawnee Mission Pkwy Ste 208 Fairway KS 66205-2518 Ph: (913) 254-4065 | Sih Mokan, P.a. 4400 Shawnee Mission Pkwy Ste 208 Fairway KS 66205-2518 Ph: (913) 254-4065 |
| NPI Number | 1710496518 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710496518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Kc Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4034 Shawnee Mission Parkway, Fairway, KS 66205 Phone: 913-220-2209 | |
Smile, It's Healthy L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 Shawnee Mission Parkway, Suite 208, Fairway, KS 66205 Phone: 913-254-4065 |