Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 30.023393 | OH |
N | 1223X0400X | Orthodontists | 2011030940 | MO |
Y | 1223X0400X | Orthodontists | 60880 | KS |
NPI | 1003218629 |
---|---|
Provider Name | Dr. Claire Stroede |
First Address | Olathe, KS 66062-3925 |
Second Address | Olathe, KS 66062-3925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2014 |
Last Update Date | 24/05/2015 |