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Organization

KANSAS CITY UNIVERSITY

Active
Other names
KCU Oral Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARLA LAVAL (DIRECTOR FINANCE AND CLINIC ADMIN)
(417) 208-0805
Entity
Organization

Contact information

Practice address
3001 ST. JOHN'S BOULEVARD, JOPLIN, MO 64804
(417) 208-0630
(877) 550-1765
Mailing address
3001 ST. JOHN'S BOULEVARD, JOPLIN, MO 64804
(417) 208-0805
(877) 550-1765

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/04/2006
Last updated
07/02/2024
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