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650 E 25th St Kansas City MO 64108-2716 | |
| (816) 235-2160 | |
| (816) 235-2166 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 650 E 25th St, Kansas City, Missouri |
| Authorized Official Name and Position | Martin Gregg Vanhorn (OFFICE MANAGER) |
| Authorized Official Contact | 8162352160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
650 E 25th St Kansas City MO 64108-2716 Ph: (816) 235-2160 | 650 E 25th St Kansas City MO 64108-2716 Ph: (816) 235-2160 |
| NPI Number | 1083756977 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083756977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Missouri) | Primary |
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