Individual
TODD BELLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13163 STATE LINE RD, KANSAS CITY, MO 64145-1650
(816) 931-5320
(913) 262-2578
Mailing address
13163 STATE LINE RD, KANSAS CITY, MO 64145-1650
(816) 931-5320
(913) 262-2578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015591
MO
Other
Enumeration date
09/22/2006
Last updated
09/20/2012
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