Organization
KC ORAL & FACIAL SURGICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J PRSTOJEVICH MD, DDS, FACS (OWNER)
(816) 820-4411
Entity
Organization
Contact information
Practice address
4225 BALTIMORE AVE, KANSAS CITY, MO 64111-2304
(816) 753-4225
(816) 753-4226
Mailing address
4225 BALTIMORE AVE, KANSAS CITY, MO 64111-2304
(816) 753-4225
(816) 753-4226
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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