PERIODONTAL SPECIALIST PA

LEAWOOD, KS
NPI1497770200
Entity TypeOrganization
Authorized ContactDANIEL THOMAS
Owner/Periodontist
913-663-4867
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2006-07-13
Last Update Date2008-07-17
Business Address
PERIODONTAL SPECIALIST PA
11401 NALL AVENUE
LEAWOOD, KS 66211-1674
Phone number: 913-663-4867
Mailing Address
PERIODONTAL SPECIALIST PA
11401 NALL AVENUE
LEAWOOD, KS 66211-1674
Phone number: 913-663-4867