Organization
UMKC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THURMOND DDS (AEGD DIRECTOR)
(816) 235-2121
Entity
Organization
Contact information
Practice address
650 E 25TH ST, ROOM 277, KANSAS CITY, MO 64108-2716
(816) 235-2121
Mailing address
650 E 25TH ST, ROOM 277, KANSAS CITY, MO 64108-2716
(816) 235-2121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7073
NE
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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