Kansas City Surgical Arts Llc | |
8080 North Flintlock Road Kansas City MO 64158 | |
(816) 286-4126 | |
(816) 278-5797 |
Full Name | Kansas City Surgical Arts Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 8080 North Flintlock Road, Kansas City, Missouri |
Authorized Official Name and Position | Matthew Robert Hlavacek (OWNER/OPERATOR) |
Authorized Official Contact | 8162864126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kansas City Surgical Arts Llc 1428 Timber Ridge Dr. Liberty MO 64068-1126 Ph: (816) 286-4126 | Kansas City Surgical Arts Llc 8080 North Flintlock Road Kansas City MO 64158 Ph: (816) 286-4126 |
NPI Number | 1942551247 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 10/24/2012 |
Identifier | Type | State | Issuer |
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1942551247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 016083 (Missouri) | Primary |
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