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12414 S Us Highway 71 Grandview MO 64030-1733 | |
| (816) 307-7000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12414 S Us Highway 71, Grandview, Missouri |
| Authorized Official Name and Position | Linda Esler (OFFICE MANAGER) |
| Authorized Official Contact | 8164590000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
319 Ne Vivion Rd Kansas City MO 64118-4510 Ph: (816) 459-0000 | 12414 S Us Highway 71 Grandview MO 64030-1733 Ph: (816) 307-7000 |
| NPI Number | 1952942880 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 07/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952942880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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