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Buccal Up Dental Olathe Llc
Dental Clinic/Center in Olathe, Kansas
NPI 1972235992

Buccal Up Dental Olathe Llc is a Dental Clinic/Center based in Tulsa, KS and is specialized in Dental. Buccal Up Dental Olathe Llc practices in Olathe, KS. The NPI Number for Buccal Up Dental Olathe Llc is 1972235992 and holds a License No. (Kansas).

The current practice location address for Buccal Up Dental Olathe Llc is 11132 S Lone Elm Rd, Olathe, KS and can be reached out via phone at 913-780-0123 and via fax at 913-829-9510.

Location: 11132 S Lone Elm Rd, Olathe, KS, 74135-6271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972235992
Provider Name
Buccal Up Dental Olathe Llc
Credential
Provider Entity Type
Organization
Address
11132 S Lone Elm Rd, Olathe, KS, 74135-6271
Phone Number
913-780-0123
Fax Number
913-829-9510
Provider Enumeration Date
06/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376521765 01 KS NPI
institution
Provider Business Practice Location Address Details
Address
11132 S Lone Elm Rd
City
Olathe
State
Kansas
Zip
66061-9434
Phone Number
913-780-0123
Fax Number
913-829-9510
person
Provider Business Mailing Address Details
Address
11132 S Lone Elm Rd
City
Olathe
State
Kansas
Zip
66061-9434
Phone Number
913-780-0123
Fax Number
913-829-9510
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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