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Organization

ORAL SURGERY AND IMPLANT INSTITUTE KANSAS CITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATE ANDREWS (CFO)
(816) 388-0985
Entity
Organization

Contact information

Practice address
638 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 388-0985
Mailing address
638 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 388-0985

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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