Organization
UNRUH PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN UNRUH DDS (OWNER)
(785) 979-3626
Entity
Organization
Contact information
Practice address
717 N HIGHWAY 7, BLUE SPRINGS, MO 64014-6426
(816) 622-2843
Mailing address
717 N 7 HWY, BLUE SPRINGS, MO 64014-2426
(816) 622-2843
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2016036717
MO
Other
Enumeration date
03/27/2017
Last updated
07/21/2022
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