Organization
RICHMOND DENTAL, LLC
Active
Other names
Kanning Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L. SMITH (INSURANCE COORDINATOR)
(816) 580-4191
Entity
Organization
Contact information
Practice address
205 S SPARTAN DR, RICHMOND, MO 64085-1877
(816) 776-7134
Mailing address
PO BOX 496, LAWSON, MO 64062-0496
(816) 580-4191
(816) 296-3058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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