Organization
TRUMAN VILLAGE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN PACE (BUSINESS MANAGER)
(816) 226-7005
Entity
Organization
Contact information
Practice address
514 S NOLAND RD, SUITE 120, INDEPENDENCE, MO 64050-3976
(816) 836-5520
(816) 836-5043
Mailing address
514 S NOLAND RD, SUITE 120, INDEPENDENCE, MO 64050-3976
(816) 836-5520
(816) 836-5043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MO
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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