Organization
PRIORITY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYONG-A KONG DDS (OWNER/DENTIST)
(816) 257-3720
Entity
Organization
Contact information
Practice address
16900 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1569
(816) 257-3720
(816) 257-7164
Mailing address
16900 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1569
(816) 257-3720
(816) 257-7164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2004000867
MO
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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