| Spot 3, Llc | |
|
3315 Gillham Plz Kansas City MO 64109-1745 | |
| (816) 363-2900 | |
| Not Available |
| Full Name | Spot 3, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3315 Gillham Plz, Kansas City, Missouri |
| Authorized Official Name and Position | Shayna Bahr (MANAGER) |
| Authorized Official Contact | 3035244501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spot 3, Llc 10800 Farley St Ste 200 Overland Park KS 66210-1414 Ph: () - | Spot 3, Llc 3315 Gillham Plz Kansas City MO 64109-1745 Ph: (816) 363-2900 |
| NPI Number | 1326581141 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326581141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2008019818 (Missouri) | Primary |
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