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Organization

NIKITA MCDANIEL DDS, LLC

Active
Other names
McDaniel Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
NIKITA MCDANIEL DDS (MEMBER)
(816) 227-6588
Entity
Organization

Contact information

Practice address
2150 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-6425
(816) 227-6588
Mailing address
2150 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-6425
(816) 228-6988

Taxonomy

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

Other

Enumeration date
06/14/2022
Last updated
02/28/2023
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