Organization
KNOB NOSTER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA WEDDLE (INSURANCE SPECIALIST)
(816) 769-6119
Entity
Organization
Contact information
Practice address
204 N ADAMS AVE, KNOB NOSTER, MO 65336-1304
(660) 563-5633
Mailing address
204 N ADAMS AVE, KNOB NOSTER, MO 65336-1304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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