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1609395342
WHEAT STATE DENTAL, LLC
LENEXA, KS
NPI
1609395342
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Entity Type
Organization
Authorized Contact
PAUL DEWITTE ROSEL
Owner/Member
913-687-5353
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-09-13
Last Update Date
2022-11-30
Business Address
WHEAT STATE DENTAL, LLC
11150 S. PFLUMM RD
LENEXA, KS 66215-3506
Phone number: 913-782-0674
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Mailing Address
WHEAT STATE DENTAL, LLC
11150 S. PFLUMM RD
LENEXA, KS 66215-3506
Phone number: 913-782-0674
Copy
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