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Organization

RED BRIDGE FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER BENJAMIN MCCLELLAN DDS (CO-OWNER)
(573) 230-6862
Entity
Organization

Contact information

Practice address
400 E RED BRIDGE RD STE 321, KANSAS CITY, MO 64131-4031
(816) 943-0600
Mailing address
400 E RED BRIDGE RD STE 321, KANSAS CITY, MO 64131-4031

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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