Individual
DR. MARY LYNN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, FAGD
Contact information
Practice address
5508 CENTRAL ST, KANSAS CITY, MO 64113-1206
(816) 363-4484
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2000157357
MO
122300000X
Dentist
60059
KS
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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