# CASS COUNTY DENTAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RESEARCH BELTON FOUNDATION SOLE M
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134422280
- **Legal business name:** RESEARCH BELTON FOUNDATION SOLE M
- **Authorized official:** MRS. CYNTHIA RANDAZZO (PRESIDENT/CEO)
- **Authorized official phone:** (816) 276-4218

## Contact information

- **Practice address:** 802 E WALNUT ST, BELTON, MO 64012-2544
- **Practice address phone:** (816) 276-4955
- **Practice address fax:** (816) 276-4928
- **Mailing address:** 2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
- **Mailing address phone:** (816) 276-4955
- **Mailing address fax:** (816) 276-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 12/13/2010