Organization
DENTAL GROUP NORTHLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLA SALMAN (OWNER)
(816) 716-8224
Entity
Organization
Contact information
Practice address
5950 N OAK TRFY, GLADSTONE, MO 64118-5166
(816) 436-5558
Mailing address
5950 N OAK TRFY, GLADSTONE, MO 64118-5166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016018920
MO
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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