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Organization
NORTH INDEPENDENCE DENTAL LLC
Active
Organization
NORTH INDEPENDENCE DENTAL LLC
Active
Other names
Comfort Dental North Independence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTJUAN HAMPTON DMD (DENTIST)
(662) 801-0563
Entity
Organization
Contact information
Practice address
1134 S NOLAND RD, INDEPENDENCE, MO 64050-4560
(662) 801-0563
Mailing address
1134 S NOLAND RD, INDEPENDENCE, MO 64050-4560
(662) 801-0563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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