Individual
DR. DENNIS RAY EDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
508 E WALNUT ST, BELTON, MO 64012-2516
(816) 331-0164
Mailing address
508 E WALNUT ST, BELTON, MO 64012-2516
(816) 331-0164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13044
MO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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