Organization
ADVANCED DENTAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY CLARK RILEY D.D.S. (OWNER)
(816) 332-2412
Entity
Organization
Contact information
Practice address
4444 N BELLEVIEW AVE, SUITE #202, KANSAS CITY, MO 64116-1507
(816) 452-1888
(816) 455-2578
Mailing address
4444 N BELLEVIEW AVE, SUITE #202, KANSAS CITY, MO 64116-1507
(816) 452-1888
(816) 455-2578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007017280
MO
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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