Individual
BASSAM S BADR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16641 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 833-2700
(816) 836-3480
Mailing address
16641 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 833-2700
(816) 836-3480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001024818
MO
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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