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Individual

DR. EDWARD JOHN BAZAR III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1301 SW ARBORWALK BLVD STE E, LEES SUMMIT, MO 64082-4101
(816) 623-9999
(816) 623-9998
Mailing address
1301 SW ARBORWALK BLVD STE E, LEES SUMMIT, MO 64082-4101
(816) 623-9999
(816) 623-9998

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2003025550
MO

Other

Enumeration date
09/30/2005
Last updated
04/03/2018
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