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Individual

DR. CHARLES WAYNE BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7211 NW 83RD ST, SUITE 120, KANSAS CITY, MO 64152-6021
(816) 587-9170
(816) 587-2321
Mailing address
7211 NW 83RD ST, SUITE 120, KANSAS CITY, MO 64152-6021
(816) 587-9170
(816) 587-2321

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013641
MO

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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