Individual
DR. CARLOS CRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1205 NE CORONADO DR, BLUE SPRINGS, MO 64014-2928
(816) 228-4090
Mailing address
1312 NW DEER RUN TRL, BLUE SPRINGS, MO 64015-1743
(618) 741-0744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021020355
MO
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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