Organization
TONGANOXIE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H JAEGER DDS (DENTIST)
(816) 813-7917
Entity
Organization
Contact information
Practice address
6725 N PARK AVE, GLADSTONE, MO 64118-3783
(816) 813-7917
Mailing address
766 NORTHSTAR COURT, TONGANOXIE, KS 66086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60803
KS
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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