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Organization

DUSTIN K. MACE, L.L.C.

Active
Other names
Westport Plaza Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSTIN K MACE D.D.S. (OWNER)
(816) 561-6150
Entity
Organization

Contact information

Practice address
801 W 47TH ST, SUITE 408, KANSAS CITY, MO 64112-1377
(816) 561-6150
Mailing address
801 W 47TH ST, SUITE 408, KANSAS CITY, MO 64112-1377
(816) 561-6150

Taxonomy

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

Other

Enumeration date
03/27/2013
Last updated
03/27/2013
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