Personal Care Dental Group Llc | |
9500 E 63rd Street Ste # 103 Raytown MO 64133 | |
(816) 737-1110 | |
(816) 356-9005 |
Full Name | Personal Care Dental Group Llc |
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Speciality | Dentist - General Practice |
Location | 9500 E 63rd Street, Raytown, Missouri |
Authorized Official Name and Position | Jennifer L Johnson (CO OFFICE MANAGER) |
Authorized Official Contact | 8167371110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Personal Care Dental Group Llc 9500 E 63rd Street Ste # 103 Raytown MO 64133 Ph: (816) 737-1110 | Personal Care Dental Group Llc 9500 E 63rd Street Ste # 103 Raytown MO 64133 Ph: (816) 737-1110 |
NPI Number | 1861576902 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861576902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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