Individual
AFSANEH MOMTAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8603 N OAK TRFY, KANSAS CITY, MO 64155-2434
(816) 436-8338
Mailing address
10501 W 113TH ST APT 5203, OVERLAND PARK, KS 66210-2283
(913) 963-3133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62197
KS
1223G0001X
General Practice Dentistry
Primary
2025003772
MO
Other
Enumeration date
07/01/2024
Last updated
02/18/2025
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