Amazing Smiles Of Kansas City, Llc

NPI 1194072421 - Dentist - 122300000X

NPI Details
NPI 1194072421
Enumeration Date 08/06/2012
Last Updated 08/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KELLY KELLY
Position DENTIST/OWNER
Phone (913) 788-7600
Fax (913) 788-7601
Practice Location
8915 STATE AVE
KANSAS CITY KS, 66112-1645, US
Phone (913) 788-7600
Fax (913) 788-7601
Business Location
8915 STATE AVE
KANSAS CITY KS, 66112-1645, US
Phone (913) 788-7600
Fax (913) 788-7601
Toxanomy
Taxonomy Code 122300000X
License State Kansas
License Number 60811
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According to our database, Amazing Smiles Of Kansas City, Llc NPI is 1194072421, taxonomy code is 122300000X and license number is 60811, license state is located at Kansas. Amazing Smiles Of Kansas City, Llc physically located at 8915 State Ave, Kansas City KS, 66112-1645. NPI Number 1033115704 has the healthcare provider type.

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1194072421 NPI number is provided on an as is basis without warranty of any kind. 1194072421 is maintained by the National Plan & Provider Enumeration System. The contents of Amazing Smiles Of Kansas City, Llc are for informational purposes only.