Organization
AZURE DENTAL, LLC
Active
Other names
St. Joseph Advanced Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA WEDDLE (INSURANCE SPECIALIST)
(816) 229-4560
Entity
Organization
Contact information
Practice address
420 S WOODBINE RD, SAINT JOSEPH, MO 64506-3468
(816) 232-8788
Mailing address
420 S WOODBINE RD, SAINT JOSEPH, MO 64506-3468
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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