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1255048476
BUCCAL UP DENTAL LENEXA LLC
LENEXA, KS
NPI
1255048476
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Entity Type
Organization
Authorized Contact
BECCA CONDLEY
Billing/Credentialing Specialist
918-960-3070
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-10-28
Last Update Date
2022-10-28
Business Address
BUCCAL UP DENTAL LENEXA LLC
13200 W 95TH ST
LENEXA, KS 66215-3731
Phone number: 913-888-8333
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Mailing Address
BUCCAL UP DENTAL LENEXA LLC
5314 S YALE AVE STE 400
TULSA, OK 74135-6271
Phone number: 918-960-3070
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