Individual
MR. SAM K KALLSNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,PC
Contact information
Practice address
300 SE 2ND ST STE 200, LEES SUMMIT, MO 64063-2759
(816) 524-6300
(816) 524-7648
Mailing address
300 SE 2ND ST STE 200, LEES SUMMIT, MO 64063-2759
(816) 524-6300
(816) 524-7648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO12368
MO
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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