Individual
DR. ASHKAAN BAHREINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4175
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2018017159
MO
1223G0001X
General Practice Dentistry
62064
KS
1223G0001X
General Practice Dentistry
7031
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
39371
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018017159
DENTAL LICENSE
MO
Enumeration date
05/22/2018
Last updated
06/17/2024
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