Individual
BRIANNA NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8413 N MADISON AVE, KANSAS CITY, MO 64155-2779
(816) 877-0050
Mailing address
1113 W 85TH ST, KANSAS CITY, MO 64114-2710
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2021015927
MO
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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