Organization
SPOT 3, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA BAHR (MANAGER)
(303) 524-4501
Entity
Organization
Contact information
Practice address
3315 GILLHAM PLZ, KANSAS CITY, MO 64109-1745
(816) 363-2900
Mailing address
10800 FARLEY ST, STE 200, OVERLAND PARK, KS 66210-1414
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2008019818
MO
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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