FOUNDATION PERIODONTICS, PA
Organization (NPI-2)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1295819951- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8704 BOURGADE ST SUITE 100, LENEXA, KS, 662191440
- Phone
- (913) 894-9962
- Fax
- (913) 894-9972
Specialties & Taxonomies
Dentist, Periodontics
Primary License: KS #7104, 7097