Organization
NORTH INDEPENDENCE DENTAL LLC
Active
Other names
Comfort Dental North Independence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTJUAN HAMPTON DMD (DENTIST)
(662) 801-0563
Entity
Organization
Contact information
Practice address
1134 S NOLAND RD, INDEPENDENCE, MO 64050-4560
(662) 801-0563
Mailing address
1134 S NOLAND RD, INDEPENDENCE, MO 64050-4560
(662) 801-0563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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