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Organization
RED BRIDGE FAMILY DENTAL
Active
Organization
RED BRIDGE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BENJAMIN MCCLELLAN DDS (CO-OWNER)
(573) 230-6862
Entity
Organization
Contact information
Practice address
400 E RED BRIDGE RD STE 321, KANSAS CITY, MO 64131-4031
(816) 943-0600
Mailing address
400 E RED BRIDGE RD STE 321, KANSAS CITY, MO 64131-4031
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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