| Threemondds Llc | |
|
7524 State Ave Kansas City KS 66112-2816 | |
| (785) 592-6652 | |
| Not Available |
| Full Name | Threemondds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7524 State Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Adrian Formanek (OWNER) |
| Authorized Official Contact | 7855926652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Threemondds Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Threemondds Llc 7524 State Ave Kansas City KS 66112-2816 Ph: (785) 592-6652 |
| NPI Number | 1063052777 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063052777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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