| Westport Family Dental, Llc | |
|
104 Archibald St Kansas City MO 64111-2230 | |
| (816) 531-0382 | |
| Not Available |
| Full Name | Westport Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 104 Archibald St, Kansas City, Missouri |
| Authorized Official Name and Position | Aaron Kyle Smitka (OWNER) |
| Authorized Official Contact | 8165310382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westport Family Dental, Llc 104 Archibald St Kansas City MO 64111-2230 Ph: (816) 531-0382 | Westport Family Dental, Llc 104 Archibald St Kansas City MO 64111-2230 Ph: (816) 531-0382 |
| NPI Number | 1760093892 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760093892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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