Organization
NEOSHO KIDS DENTAL, LLC
Active
Other names
Neosho Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER/DENTIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
3201 LUSK DR STE 111K, NEOSHO, MO 64850-2019
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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