Individual
MARK A QUATTROCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
127 S 1ST ST, PLEASANT HILL, MO 64080-1603
(816) 540-3911
Mailing address
2820 SW 10TH ST, LEES SUMMIT, MO 64081-2379
(816) 765-6224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014665
MO
122300000X
Dentist
6401
KS
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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