Organization
IAN R KUKLENSKI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN KUKLENSKI DDS (OWNER)
(816) 331-5900
Entity
Organization
Contact information
Practice address
8435 CLINT DR, BELTON, MO 64012-5330
(816) 331-5900
Mailing address
8435 CLINT DR, BELTON, MO 64012-5330
(816) 331-5900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20170221247
MO
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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