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400 E Red Bridge Rd Suite 321 Kansas City MO 64131-4035 | |
| (816) 943-0600 | |
| (816) 943-0309 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 E Red Bridge Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Sandi Weinzatl (OFFICE MANAGER) |
| Authorized Official Contact | 8169430600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 E Red Bridge Rd Suite 321 Kansas City MO 64131-4035 Ph: (816) 943-0600 | 400 E Red Bridge Rd Suite 321 Kansas City MO 64131-4035 Ph: (816) 943-0600 |
| NPI Number | 1679945570 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679945570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15370 (Missouri) | Secondary |
| 1223G0001X | Dentist - General Practice | 13501 (Missouri) | Primary |
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