| Peds, Llc | |
|
4741 Central St Suite #107 Kansas City MO 64112-1533 | |
| (402) 972-7751 | |
| Not Available |
| Full Name | Peds, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4741 Central St, Kansas City, Missouri |
| Authorized Official Name and Position | Matthew David Anderson (ORGANIZER) |
| Authorized Official Contact | 4029727751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peds, Llc 4741 Central St Suite #107 Kansas City MO 64112-1533 Ph: () - | Peds, Llc 4741 Central St Suite #107 Kansas City MO 64112-1533 Ph: (402) 972-7751 |
| NPI Number | 1336548106 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336548106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2014012737 (Missouri) | Primary |
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