JUSTIN SHIRK

MCCONNELL AFB, KS
NPI1144773698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NE  7309)
Additional Taxonomies122300000X Dentist
(Licence: KS  61816)
Enumeration Date2016-08-02
Last Update Date2021-11-10
Business Address
JUSTIN SHIRK DDS
57950 LEAVENWORTH ST 22D MEDICAL GROUP
MCCONNELL AFB, KS 67221-3506
Phone number: 316-759-5181
Mailing Address
JUSTIN SHIRK DDS
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number: