Organization
CASS COUNTY DENTAL CLINIC, LLC
Active
Parent organization
RESEARCH BELTON FOUNDATION SOLE M
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESEARCH BELTON FOUNDATION SOLE M
Authorized official
MRS. CYNTHIA RANDAZZO (PRESIDENT/CEO)
(816) 276-4218
Entity
Organization
Contact information
Practice address
802 E WALNUT ST, BELTON, MO 64012-2544
(816) 276-4955
(816) 276-4928
Mailing address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 276-4955
(816) 276-4928
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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