Organization
VITALITY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAITLIN CHAMBERLAIN DDS (OWNER)
(573) 819-9619
Entity
Organization
Contact information
Practice address
5420 NE ANTIOCH RD, KANSAS CITY, MO 64119-2507
(816) 452-9700
Mailing address
5420 NE ANTIOCH RD, KANSAS CITY, MO 64119-2507
(816) 452-9700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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