RICHARD M DERVIN

SHAWNEE, KS
NPI1457452534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KS  6495)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
RICHARD M DERVIN D.D.S.
22002 W 66TH ST
SHAWNEE, KS 66226-3500
Phone number: 913-422-0875
Mailing Address
RICHARD M DERVIN D.D.S.
22002 W 66TH ST
SHAWNEE, KS 66226-3500
Phone number:
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