Liberty Oaks Dental Group | |
8291 N Booth Avenue Kansas City MO 64158 | |
(816) 728-2979 | |
(816) 415-3286 |
Full Name | Liberty Oaks Dental Group |
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Speciality | Dentist - General Practice |
Location | 8291 N Booth Avenue, Kansas City, Missouri |
Authorized Official Name and Position | Bryan K Watanabe (OWNER) |
Authorized Official Contact | 8167282979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberty Oaks Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Liberty Oaks Dental Group 8291 N Booth Avenue Kansas City MO 64158 Ph: (816) 728-2979 |
NPI Number | 1780056135 |
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Provider Enumeration Date | 10/26/2015 |
Last Update Date | 10/26/2015 |
Identifier | Type | State | Issuer |
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1780056135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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