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Individual

DR. ROBERT E HURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
325 EAST 135TH ST., KANSAS CITY, MO 64145
(816) 941-7788
(816) 941-4413
Mailing address
325 EAST 135TH ST, KANSAS CITY, MO 64145
(816) 941-7788
(816) 941-4413

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
015119
MO
122300000X
Dentist
Primary
M015119
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-2761106
TAX ID
MO
Enumeration date
09/20/2006
Last updated
03/23/2017
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