| Breuckmann & Ross, Dds, Pa | |
|
15095 W 123rd St Olathe KS 66062-6964 | |
| (913) 782-6533 | |
| (913) 782-6653 |
| Full Name | Breuckmann & Ross, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15095 W 123rd St, Olathe, Kansas |
| Authorized Official Name and Position | Karl Alan Breuckmann (PRESIDENT) |
| Authorized Official Contact | 9137826533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breuckmann & Ross, Dds, Pa 15095 W 123rd St Olathe KS 66062-6964 Ph: (913) 782-6533 | Breuckmann & Ross, Dds, Pa 15095 W 123rd St Olathe KS 66062-6964 Ph: (913) 782-6533 |
| NPI Number | 1023217312 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023217312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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