Organization
RAYTOWN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
10208 E STATE ROUTE 350, RAYTOWN, MO 64138-1805
(816) 356-2476
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
11/08/2023
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