Individual
MRS. MADELINE GRACE SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10803 E 350 HWY, RAYTOWN, MO 64138-2313
(816) 356-4008
(816) 358-4008
Mailing address
825 EUCLID AVE, ATTN: CREDENTIALING, KANSAS CITY, MO 64124-2323
(816) 889-4874
(816) 889-1847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014017949
MO
Other
Enumeration date
06/13/2014
Last updated
07/29/2015
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