Organization
STALEY DENTAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE JOY MENDENHALL DDS (OWNER)
(816) 605-0034
Entity
Organization
Contact information
Practice address
506 NE 107TH STREET, KANSAS CITY, MO 64155
(816) 605-0034
(816) 817-1181
Mailing address
506 NE 107TH STREET, KANSAS CITY, MO 64155
(816) 605-0034
(816) 817-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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