Organization
COMFORT DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA TABAKH DDS (DENTIST)
(816) 942-7669
Entity
Organization
Contact information
Practice address
12927 STATE LINE RD, KANSAS CITY, MO 64145-1238
(816) 942-7669
(816) 942-7808
Mailing address
12927 STATE LINE RD, KANSAS CITY, MO 64145-1238
(816) 942-7669
(816) 942-7808
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
016135
MO
Other
Enumeration date
02/18/2007
Last updated
08/22/2020
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