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1215172275
THEODORE CONSTANTINE DIMAS
PRAIRIE VILLAGE, KS
NPI
1215172275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KS 6627)
Additional Taxonomies
122300000X Dentist
(Licence: MO 015149)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
Dr. THEODORE CONSTANTINE DIMAS D.D.S.
4121 W. 83 ST. SUITE 230
PRAIRIE VILLAGE, KS 66208-5303
Phone number: 913-649-1171
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Mailing Address
Dr. THEODORE CONSTANTINE DIMAS D.D.S.
4121 W. 83 ST. SUITE 230
PRAIRIE VILLAGE, KS 66208-5303
Phone number: 913-649-1171
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