Organization
SOUTHTOWN FAMILY DENTAL LLC
Active
Other names
Southtown Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S CAMPOS DMD, MS (DENTIST/OWNER)
(816) 603-1737
Entity
Organization
Contact information
Practice address
19 E GREGORY BLVD, KANSAS CITY, MO 64114-1117
(816) 603-1737
(816) 652-0808
Mailing address
19 E GREGORY BLVD, KANSAS CITY, MO 64114-1117
(573) 201-9262
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
02/27/2025
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