Individual
VINICIUS SOUZA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, DMSC
Contact information
Practice address
9018 N SKYVIEW AVE, KANSAS CITY, MO 64154-8501
(816) 741-5113
Mailing address
697 BARTON DR, ANN ARBOR, MI 48105-1144
(603) 943-2188
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2022012734
MO
1223P0300X
Periodontics
61988
KS
Other
Enumeration date
05/30/2008
Last updated
04/28/2022
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