Organization
HORMOZDI D.D.S. DENTURE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRENA L. BELL (OFFICE MANAGER)
(816) 298-0090
Entity
Organization
Contact information
Practice address
5950 N OAK TRFY STE 101, GLADSTONE, MO 64118-5164
(816) 298-0090
Mailing address
5950 N OAK TRFY STE 101, GLADSTONE, MO 64118-5164
(816) 298-0090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2012015475
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871853853
DENTIST
MO
Enumeration date
01/17/2018
Last updated
01/17/2018
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