Organization
JOHN K. KIESENDAHL, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K KIESENDAHL D.D.S. (PRESIDENT)
(816) 942-7789
Entity
Organization
Contact information
Practice address
400 E RED BRIDGE RD, SUITE 200, KANSAS CITY, MO 64131-4035
(816) 942-7789
(816) 942-5964
Mailing address
400 E RED BRIDGE RD, SUITE 200, KANSAS CITY, MO 64131-4035
(816) 942-7789
(816) 942-5964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO10852
MO
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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