Organization · Type 2 NPI

Independence Dental, LLC

Dental Clinic/Center · Independence, KS

NPI number 1104598721 Active

Practice location

308 N 6th St
Independence, KS 67301-3129

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1104598721

Independence Dental, LLC's National Provider Identifier is 1104598721, issued on Oct 1, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Independence, KS. The record was last updated on Oct 1, 2021.