Wycliff Family Dentistry | |
10400 W 103rd St Ste 21 Overland Park KS 66214-2664 | |
(913) 722-0610 | |
(913) 722-2893 |
Full Name | Wycliff Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 10400 W 103rd St Ste 21, Overland Park, Kansas |
Authorized Official Name and Position | Anne A Lane (OWNER) |
Authorized Official Contact | 9137220610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wycliff Family Dentistry 10400 W 103rd St Ste 21 Overland Park KS 66214-2664 Ph: (913) 722-0610 | Wycliff Family Dentistry 10400 W 103rd St Ste 21 Overland Park KS 66214-2664 Ph: (913) 722-0610 |
NPI Number | 1376320523 |
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Provider Enumeration Date | 09/12/2023 |
Last Update Date | 09/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376320523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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