# SIH MOKAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356850473
- **Authorized official:** GREGORY TULL (OWNER/PRINCIPAL)
- **Authorized official phone:** (561) 400-4142

## Contact information

- **Practice address:** 803 W 48TH ST APT 404, KANSAS CITY, MO 64112-1859
- **Practice address phone:** (561) 400-4142
- **Mailing address:** 803 W 48TH ST APT 404, KANSAS CITY, MO 64112-1859
- **Mailing address phone:** (561) 400-4142

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 07/21/2022