# KANSAS CITY UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KCU Oral Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295773638
- **Authorized official:** MARLA LAVAL (DIRECTOR FINANCE AND CLINIC ADMIN)
- **Authorized official phone:** (417) 208-0805

## Contact information

- **Practice address:** 3001 ST. JOHN'S BOULEVARD, JOPLIN, MO 64804
- **Practice address phone:** (417) 208-0630
- **Practice address fax:** (877) 550-1765
- **Mailing address:** 3001 ST. JOHN'S BOULEVARD, JOPLIN, MO 64804
- **Mailing address phone:** (417) 208-0805
- **Mailing address fax:** (877) 550-1765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 07/02/2024