JACK G OKERSTROM

PRAIRIE VILLAGE, KS
NPI1295846947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: KS  KS52000)
Enumeration Date2006-08-31
Last Update Date2013-12-19
Business Address
-- JACK G OKERSTROM DDS, PA
4026 W. 83RD ST
PRAIRIE VILLAGE, KS 66208
Phone number: 913-469-9191
Mailing Address
-- JACK G OKERSTROM DDS, PA
11940 QUIVIRA RD
OVERLAND PARK, KS 66213
Phone number: 913-469-9191
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