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Individual

DR. ANDREW OTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
200 NE 54TH ST UNIT 115, KANSAS CITY, MO 64118-4338
(816) 454-7422
Mailing address
9305 NW 79TH ST, WEATHERBY LAKE, MO 64152-1605
(816) 808-1795

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023013422
MO
1223G0001X
General Practice Dentistry
61882
KS

Other

Enumeration date
06/21/2021
Last updated
04/14/2025
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