Individual
DR. HOLLIE E PFEFFER FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6247 BROOKSIDE BLVD STE 207, KANSAS CITY, MO 64113-1645
(816) 523-1444
(816) 363-2899
Mailing address
6247 BROOKSIDE BLVD STE 207, KANSAS CITY, MO 64113-1645
(816) 523-1444
(816) 363-2899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2011016314
MO
122300000X
Dentist
60960
KS
1223G0001X
General Practice Dentistry
Primary
2011016314
MO
Other
Enumeration date
05/22/2013
Last updated
04/16/2019
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