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800 W 47th St Ste 515 Kansas City MO 64112-1247 | |
| (816) 281-5450 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 800 W 47th St Ste 515, Kansas City, Missouri |
| Authorized Official Name and Position | Darren Perry (OWNER/DENTIST) |
| Authorized Official Contact | 8162815450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
800 W 47th St Ste 515 Kansas City MO 64112-1247 Ph: (816) 281-5450 | 800 W 47th St Ste 515 Kansas City MO 64112-1247 Ph: (816) 281-5450 |
| NPI Number | 1891201885 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2004031256 (Missouri) | Primary |
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