Individual
ANDREW C SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19201 E VALLEY VIEW PKWY STE A, INDEPENDENCE, MO 64055-6913
(816) 478-3600
Mailing address
19201 E VALLEY VIEW PKWY STE A, INDEPENDENCE, MO 64055-6913
(816) 478-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2026023641
MO
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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