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Organization

ALAN C FASHION, D.D.S., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN C FASHION D.D.S. (PRESIDENT)
(816) 452-4600
Entity
Organization

Contact information

Practice address
2727 NE BROOKTREE LANE, GLADSTONE, MO 64119-1833
(816) 452-4600
Mailing address
2727 NE BROOKTREE LANE, GLADSTONE, MO 64119-1833
(816) 452-4600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE015142
MO

Other

Enumeration date
09/26/2007
Last updated
01/23/2013
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