Overland Park Modern Dentistry Pa

NPI 1215367172 - Dentist - 1223G0001X

NPI Details
NPI 1215367172
Enumeration Date 11/13/2013
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MATTHEW H MATTHEW
Position OWNER
Phone (913) 851-5110
Fax (913) 851-0321
Practice Location
13316 METCALF AVE
OVERLAND PARK KS, 66213-2804, US
Phone (913) 851-5110
Fax (913) 851-0321
Business Location
17000 RED HILL AVE
IRVINE CA, 92614-5626, US
Phone (714) 845-8890
Fax (949) 474-1495
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Overland Park Modern Dentistry Pa NPI is 1215367172, taxonomy code is 1223G0001X Overland Park Modern Dentistry Pa physically located at 13316 Metcalf Ave, Overland Park KS, 66213-2804. NPI Number 1033115704 has the healthcare provider type.

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1215367172 NPI number is provided on an as is basis without warranty of any kind. 1215367172 is maintained by the National Plan & Provider Enumeration System. The contents of Overland Park Modern Dentistry Pa are for informational purposes only.