Individual
DR. CHINAKASIOBI MBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5101 N BELT HWY, SAINT JOSEPH, MO 64506
(913) 802-2353
Mailing address
5101 N BELT HWY, SAINT JOSEPH, MO 64506-1261
(913) 802-2353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019008419
MO
1223G0001X
General Practice Dentistry
33723
TX
Other
Enumeration date
02/24/2018
Last updated
03/28/2019
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