Individual
DR. STEPHEN ROBERT KIRSCHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 N FOREST AVE, LIBERTY, MO 64068-1070
(816) 792-8030
Mailing address
380 W 22ND ST APT 605, KANSAS CITY, MO 64108-2074
(712) 348-4143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017014441
MO
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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