Individual
NIKITA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2150 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-6425
(816) 227-6588
Mailing address
210 W 5TH ST APT 101, KANSAS CITY, MO 64105-1165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017017408
MO
Other
Enumeration date
01/22/2018
Last updated
06/28/2021
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