-- DOUGLAS W FAIN -- DDS.,MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1013996115- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS.,MD
- Status
- Active
Contact & Location
- Address
- 20168 W 153RD ST, OLATHE, KS, 660629131
- Phone
- (913) 839-9709
- Fax
- (913) 839-9471
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: KS #6713
Dentist, Oral and Maxillofacial Surgery
License: MO #13540