Organization
SHOAL CREEK PEDIATRIC DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SCOTT THOMAS DDS (PRESIDENT)
(816) 781-5437
Entity
Organization
Contact information
Practice address
9051 NE 81ST TERRACE, SUITE 220, KANSAS CITY, MO 64158
(816) 781-5437
Mailing address
9051 NE 81ST TERRACE, SUITE 220, KANSAS CITY, MO 64158
(816) 781-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2005034207
MO
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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