Organization
CARL H. DAHLQUIST D.D.S.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY D. PORTER (OFFICE MANAGER)
(816) 228-7176
Entity
Organization
Contact information
Practice address
1508 N.W. MOCK AVE. STE A, BLUE SPRINGS, MO 64015
(816) 228-7176
Mailing address
1508 N.W. MOCK AVE. STE A, BLUE SPRINGS, MO 64015
(816) 228-7176
(816) 224-9555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013940
MO
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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