Individual
DR. BRETT WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-0500
Mailing address
2310 HOLMES ST, OMFS SURGERY CLINIC, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014016650
MO
Other
Enumeration date
05/02/2014
Last updated
09/23/2014
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