Individual
BRYAN SHEWANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
244 E 69 HWY, SUITE 101, KANSAS CITY, MO 64113-2515
(816) 454-1313
(816) 454-5377
Mailing address
244 E 69 HWY, SUITE 101, KANSAS CITY, MO 64113-2515
(816) 454-1313
(816) 454-5377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009016386
MO
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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