Corinth Dental Care, LLC
Clinic/Center, Dental in Prairie Village, KS. Organization (NPI-2).
NPI number1982926804
StatusActive
Last updated in NPPESFeb 19, 2010
Details
- NPI
- 1982926804
- Entity type
- Organization (NPI-2)
- Legal business name
- Corinth Dental Care, LLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2010
- Last updated
- Feb 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 60394 | KS | Yes |
Practice location
3700 W 83rd StSuite 217
Prairie Village, KS 66208-5120
Phone 913-341-9600 · Fax 913-341-6328
Mailing address
3700 W 83rd StSuite 217
Prairie Village, KS 66208-5120
Phone 913-341-9600
Authorized official
Tricia Marie Canzonere
Dentist/Owner
9133419600
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