NPI 1063052777
Threemondds LLC
Practice location
- Address
- 7524 State Ave, Kansas City, KS 66112-2816
- Phone
- (785) 592-6652
- Mailing address
- PO Box 70887, Cleveland, OH 44190-0887
Authorised official
- Name
- Adrian Formanek
- Title
- Owner
- Phone
- (785) 592-6652
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1063052777
- Entity type
- Organization
- NPI issued
- 10 Jan 2020
- Record last updated
- 20 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.