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1972235992
BUCCAL UP DENTAL OLATHE LLC
OLATHE, KS
NPI
1972235992
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Entity Type
Organization
Authorized Contact
REBECCA CONDLEY
Credentialing Specialist
918-960-3070
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
BUCCAL UP DENTAL OLATHE LLC
11132 S LONE ELM RD
OLATHE, KS 66061-9434
Phone number: 913-780-0123
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Mailing Address
BUCCAL UP DENTAL OLATHE LLC
5314 S YALE AVE STE 400
TULSA, OK 74135-6271
Phone number: 918-960-3070
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