| Smile Line Studio Llc | |
|
11526 Ash Street Leawood KS 66211 | |
| (913) 602-4423 | |
| Not Available |
| Full Name | Smile Line Studio Llc |
|---|---|
| Speciality | Dentist |
| Location | 11526 Ash Street, Leawood, Kansas |
| Authorized Official Name and Position | Geoffrey Kerns (OWNER/DOCTOR) |
| Authorized Official Contact | 9136024423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Line Studio Llc 11526 Ash Street Leawood KS 66211 Ph: (913) 602-4423 | Smile Line Studio Llc 11526 Ash Street Leawood KS 66211 Ph: (913) 602-4423 |
| NPI Number | 1881475275 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881475275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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