Organization
COSMETIC AND IMPLANT DENTISTRY OF KANSAS CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHDOKHT A. FARAHANI (DENTIST)
(816) 838-2651
Entity
Organization
Contact information
Practice address
2101 CHARLOTTE ST STE 330, KANSAS CITY, MO 64108-2764
(816) 897-4288
Mailing address
2101 CHARLOTTE ST STE 330, KANSAS CITY, MO 64108-2764
(816) 897-4288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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