Individual
DR. DIRK BRADFORD ECKROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3257
Mailing address
309 EMANUEL CLEAVER II BLVD, UNIT #204, KANSAS CITY, MO 64112-1792
(405) 245-4117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012016211
MO
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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