| Genmat, PA | |
|
1320 Central Ave Kansas City KS 66102-5030 | |
| (913) 342-5280 | |
| Not Available |
| Full Name | Genmat, PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1320 Central Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Mathew H Draper (OWNER) |
| Authorized Official Contact | 3852156097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genmat, PA 12180 S 300 E Unit 270 Draper UT 84020-2612 Ph: (385) 215-6097 | Genmat, PA 1320 Central Ave Kansas City KS 66102-5030 Ph: (913) 342-5280 |
| NPI Number | 1396245775 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396245775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61292 (Kansas) | Primary |
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