| Southtown Family Dental Llc | |
|
19 E Gregory Blvd Kansas City MO 64114-1117 | |
| (573) 201-9262 | |
| Not Available |
| Full Name | Southtown Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19 E Gregory Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Richard S Campos (OWNER/DENTIST) |
| Authorized Official Contact | 5732019262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southtown Family Dental Llc 19 E Gregory Blvd Kansas City MO 64114-1117 Ph: (573) 201-9262 | Southtown Family Dental Llc 19 E Gregory Blvd Kansas City MO 64114-1117 Ph: (573) 201-9262 |
| NPI Number | 1285465120 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285465120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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