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Organization
TOOTH TOWN LLC
Active
Organization
TOOTH TOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONAEDO ACHEBE (MEMBER)
(646) 740-9607
Entity
Organization
Contact information
Practice address
1338 N BELT HWY, SAINT JOSEPH, MO 64506-2537
(646) 740-9607
Mailing address
1803 WYANDOTTE ST APT 205, KANSAS CITY, MO 64108-2553
(646) 740-9607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/06/2025
Last updated
05/02/2025
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