Organization
KC KIDS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL DEAN DDS (PRESIDENT)
(214) 293-8577
Entity
Organization
Contact information
Practice address
12600 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5955
(214) 293-8577
Mailing address
1151 GOLDWOOD LN, FRISCO, TX 75036-8157
(214) 293-8577
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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