Organization
CARESA DOAKES, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARESA DOAKES D.D.S (OWNER)
(816) 931-2191
Entity
Organization
Contact information
Practice address
801 W 47TH ST STE 110, KANSAS CITY, MO 64112-1253
(816) 931-2191
Mailing address
801 W 47TH ST STE 110, KANSAS CITY, MO 64112-1253
(816) 931-2191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014018209
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134533466
—
MO
Enumeration date
05/26/2015
Last updated
05/26/2015
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