Individual
DR. DEAN ALAN ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, #277, KANSAS CITY, MO 64108-2716
(816) 235-2121
(816) 235-5526
Mailing address
650 E 25TH ST, #277, KANSAS CITY, MO 64108-2716
(816) 235-2121
(816) 235-5526
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
014050
MO
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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