Individual
DR. LARINDA LEA HLAVACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2121
Mailing address
2115 W 79TH ST, PRAIRIE VILLAGE, KS 66208-3825
(913) 901-8410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2007002278
MO
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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