Organization
KAI EZELL DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAI EZELL DDS (DENTIST)
(620) 200-2122
Entity
Organization
Contact information
Practice address
2618 N BELT HWY, SAINT JOSEPH, MO 64506-2003
(620) 200-2122
Mailing address
2618 N BELT HWY, SAINT JOSEPH, MO 64506-2003
(620) 200-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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