| East Ridge Family Dentistry | |
|
3918 Sherman Ave Saint Joseph MO 64506-3648 | |
| (816) 786-1132 | |
| (816) 817-0504 |
| Full Name | East Ridge Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3918 Sherman Ave, Saint Joseph, Missouri |
| Authorized Official Name and Position | Kole Krasniqi (PRESIDENT) |
| Authorized Official Contact | 8167861132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ridge Family Dentistry 3918 Sherman Ave Saint Joseph MO 64506-3648 Ph: (816) 786-1132 | East Ridge Family Dentistry 3918 Sherman Ave Saint Joseph MO 64506-3648 Ph: (816) 786-1132 |
| NPI Number | 1114191418 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114191418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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