Organization
WALDO ORAL SURGERY, LLC
Active
Organization
WALDO ORAL SURGERY, LLC
Active
Other names
Waldo Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA A TAMBURELLO (REGIONAL MANAGER OF BILLING & INS)
(816) 830-9030
Entity
Organization
Contact information
Practice address
8043 WORNALL RD STE 201, KANSAS CITY, MO 64114-5822
(816) 214-8339
(816) 216-1742
Mailing address
8043 WORNALL RD STE 201, KANSAS CITY, MO 64114-5822
(816) 214-8339
(816) 216-1742
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2016011725
MO
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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