| Sih Mokan, P.c. | |
|
803 W 48th St Apt 404 Kansas City MO 64112-1859 | |
| (561) 400-4142 | |
| Not Available |
| Full Name | Sih Mokan, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 803 W 48th St Apt 404, Kansas City, Missouri |
| Authorized Official Name and Position | Gregory Tull (OWNER/PRINCIPAL) |
| Authorized Official Contact | 5614004142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sih Mokan, P.c. 803 W 48th St Apt 404 Kansas City MO 64112-1859 Ph: (561) 400-4142 | Sih Mokan, P.c. 803 W 48th St Apt 404 Kansas City MO 64112-1859 Ph: (561) 400-4142 |
| NPI Number | 1356850473 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356850473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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