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315 Nichols Rd Ste 211 Kansas City MO 64111 | |
| (816) 714-4990 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 315 Nichols Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Daniel Eugene Rome (OWNER DENTIST) |
| Authorized Official Contact | 8167144990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4532 Broadway Apt 3s Kansas City MO 64111 Ph: (816) 714-4990 | 315 Nichols Rd Ste 211 Kansas City MO 64111 Ph: (816) 714-4990 |
| NPI Number | 1477090090 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477090090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2016042390 (Missouri) | Primary |
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