Organization
METROPOLITAN DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIIKA R JACKSON DDS (DENTIST)
(816) 523-7788
Entity
Organization
Contact information
Practice address
751 E 63RD ST, SUITE 217, KANSAS CITY, MO 64110-3385
(816) 523-7788
(816) 444-1175
Mailing address
751 E. 63RD ST, SUITE 217, KANSAS CITY, MO 64110
(816) 523-7788
(816) 444-1175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008028444
MO
Other
Enumeration date
02/03/2016
Last updated
02/15/2017
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