Organization
ODESSA PEDIATRIC DENTAL CARE
Active
Other names
Treetop Pediatric Dentistry Odessa
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA WEDDLE (INSURANCE DEPARTMENT MANAGER)
(816) 229-4560
Entity
Organization
Contact information
Practice address
406 N 4TH ST STE A, ODESSA, MO 64076-1680
(816) 000-0000
Mailing address
406 N 4TH ST STE A, ODESSA, MO 64076-1680
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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