| Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds Pc | |
|
1734 E 63rd St Suite 520 Kansas City MO 64110 | |
| (816) 523-9787 | |
| (816) 444-1175 |
| Full Name | Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1734 E 63rd St, Kansas City, Missouri |
| Authorized Official Name and Position | Clinton M Johnson (DOCTOR) |
| Authorized Official Contact | 8165237788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds Pc 1734 E 63rd St Suite 520 Kansas City MO 64110 Ph: (816) 523-7788 | Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds Pc 1734 E 63rd St Suite 520 Kansas City MO 64110 Ph: (816) 523-9787 |
| NPI Number | 1790851889 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790851889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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