Blue Valley Dental Care Pa

NPI 1336210962 - Dentist - 1223G0001X

NPI Details
NPI 1336210962
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MATTHEW R MATTHEW
Position DENTIST
Phone (913) 681-5300
Fax (913) 681-5053
Practice Location
7916 W 151ST ST
STANLEY KS, 66223-2118, US
Phone (913) 681-5300
Fax (913) 681-5053
Business Location
7916 W 151ST ST
STANLEY KS, 66223-2118, US
Phone (913) 681-5300
Fax (913) 681-5053
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 7163
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According to our database, Blue Valley Dental Care Pa NPI is 1336210962, taxonomy code is 1223G0001X and license number is 7163, license state is located at Kansas. Blue Valley Dental Care Pa physically located at 7916 W 151st St, Stanley KS, 66223-2118. NPI Number 1033115704 has the healthcare provider type.

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1336210962 NPI number is provided on an as is basis without warranty of any kind. 1336210962 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Valley Dental Care Pa are for informational purposes only.