Organization
SENIOR DENTAL CARE OF MO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROSENBAUM (CHIEF FINANCIAL OFFICER)
(913) 647-7926
Entity
Organization
Contact information
Practice address
120 S CENTRAL AVE, CLAYTON, MO 63105-1705
(888) 674-1211
Mailing address
8500 W 110TH ST STE 450, OVERLAND PARK, KS 66210-4029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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