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Organization

WISDOM DENTAL GROUP EXCELSIOR SPRINGS LLC

Active
Other names
Wisdom Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
JONAH FOUTZ (MEMBER)
(816) 573-0077
Entity
Organization

Contact information

Practice address
197 S MCCLEARY RD, EXCELSIOR SPRINGS, MO 64024
(816) 573-0077
Mailing address
1489 HEMLOCK CT, LIBERTY, MO 64068-3724
(816) 573-0077

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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