Organization
DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS A POLLINA DDS (OWNER)
(816) 436-5900
Entity
Organization
Contact information
Practice address
231 NW 72ND ST, GLADSTONE, MO 64118-1821
(816) 436-5900
(816) 436-5985
Mailing address
231 NW 72ND ST, GLADSTONE, MO 64118-1821
(816) 436-5900
(816) 436-5985
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
015930
MO
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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