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Individual

JOHN C WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3257
Mailing address
3010 NW 47TH TER, RIVERSIDE, MO 64150-1150
(480) 250-5843

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011010373
MO
122300000X
Dentist
D007997
AZ

Other

Enumeration date
07/18/2011
Last updated
07/18/2011
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