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Individual

DALLIN M JOSEPHSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2011 W JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1853
(816) 630-5533
Mailing address
2108 HOLLOW LOG DR, KEARNEY, MO 64060-6200
(636) 577-2223

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022018796
MO

Other

Enumeration date
06/07/2022
Last updated
05/16/2023
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