Individual
DR. WED KHIZIRPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1680 NW CHIPMAN RD, LEES SUMMIT, MO 64081-3934
(816) 600-3722
Mailing address
1617 NE 77TH TER, KANSAS CITY, MO 64118-1940
(816) 824-8933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020018573
MO
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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