Individual
THOMAS H WRENN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1115 E 65TH ST, KANSAS CITY, MO 64131-1202
(816) 444-9091
(816) 523-2263
Mailing address
1115 E 65TH ST, SUITE 3, KANSAS CITY, MO 64131-1202
(816) 444-9091
(816) 523-2263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10872
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400518700
—
MO
Enumeration date
05/01/2007
Last updated
12/18/2014
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