Individual
DR. BRYCE HUNTER CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3568 SW MARKET ST, LEES SUMMIT, MO 64082-2327
(816) 537-6161
(816) 537-6165
Mailing address
3568 SW MARKET ST, LEES SUMMIT, MO 64082-2327
(816) 537-6161
(816) 537-6165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023021085
MO
1223G0001X
General Practice Dentistry
62092
KS
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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