Individual
STEPHANIE MICHELLE ALTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5571 NW BARRY RD, KANSAS CITY, MO 64154-1408
(816) 587-0600
(816) 587-7662
Mailing address
5571 NW BARRY RD, KANSAS CITY, MO 64154-1408
(816) 587-0600
(816) 587-7662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015725
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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