Individual
COLE PRSTOJEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NW JEFFERSON CT, BLUE SPRINGS, MO 64015-6382
(816) 229-3828
Mailing address
100 SW AYDEN LN, BLUE SPRINGS, MO 64064-4516
(816) 820-8484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021004011
MO
Other
Enumeration date
05/27/2021
Last updated
06/14/2024
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