Drtlcdds Llc | |
408 E Bannister Rd Kansas City MO 64131-3010 | |
(816) 333-3337 | |
Not Available |
Full Name | Drtlcdds Llc |
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Speciality | Dentist |
Location | 408 E Bannister Rd, Kansas City, Missouri |
Authorized Official Name and Position | Karen Rethmeyer (OWNER) |
Authorized Official Contact | 8163333337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Drtlcdds Llc 408 E Bannister Rd Kansas City MO 64131-3010 Ph: (816) 333-3337 | Drtlcdds Llc 408 E Bannister Rd Kansas City MO 64131-3010 Ph: (816) 333-3337 |
NPI Number | 1659769487 |
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Provider Enumeration Date | 01/01/2015 |
Last Update Date | 01/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659769487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE14809 (Missouri) | Primary |
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