Individual
DR. RICHARD S CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19 E GREGORY BLVD, KANSAS CITY, MO 64114-1117
(573) 201-9262
Mailing address
19 E GREGORY BLVD, KANSAS CITY, MO 64114-1117
(573) 201-9262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2019024194
MO
1223G0001X
General Practice Dentistry
Primary
2019024194
MO
Other
Enumeration date
07/22/2019
Last updated
08/13/2024
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