GENMAT, PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1396245775- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1320 CENTRAL AVE, KANSAS CITY, KS, 661025030
- Phone
- (913) 342-5280
Specialties & Taxonomies
Dentist, General Practice
Primary License: KS #61292