Organization
KHIZIRPOUR DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HAMILTON (DIRECTOR, PAYOR STRATEGY)
(315) 410-5531
Entity
Organization
Contact information
Practice address
6262 NW BARRY RD, KANSAS CITY, MO 64154-2530
(816) 705-5996
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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