Organization
SIH MOKAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY TULL (OWNER/PRINCIPAL)
(561) 400-4142
Entity
Organization
Contact information
Practice address
803 W 48TH ST APT 404, KANSAS CITY, MO 64112-1859
(561) 400-4142
Mailing address
803 W 48TH ST APT 404, KANSAS CITY, MO 64112-1859
(561) 400-4142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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