Organization
INDEPENDENCE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA BAHR DMD (MANAGER)
(303) 524-4501
Entity
Organization
Contact information
Practice address
651 E US HIGHWAY 24, INDEPENDENCE, MO 64050-2974
(816) 461-0300
Mailing address
10800 FARLEY ST, STE. 200, OVERLAND PARK, KS 66210-1414
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2008019818
MO
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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