Individual
KIRSTIN TY MCCARVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2784
(816) 235-2160
(816) 235-2166
Mailing address
4784 OAK ST APT 324, KANSAS CITY, MO 64112-2223
(402) 203-3593
(816) 235-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006013083
MO
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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