Individual
KRISTOPHER J. BRUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1111 MAIN ST STE 306, KANSAS CITY, MO 64105-2115
(816) 221-8686
(816) 221-5124
Mailing address
1111 MAIN ST STE 306, KANSAS CITY, MO 64105-2115
(816) 221-8686
(816) 221-5124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014629
MO
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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