Individual
CHAD CHRISTIAN WOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
444 W 47TH STREET, SUITE 210, KANSAS CITY, MO 64112-1952
(816) 561-9666
(816) 561-8304
Mailing address
444 W 47TH STREET, SUITE 210, KANSAS CITY, MO 64112-1952
(816) 561-9666
(816) 561-8304
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2000166275
MO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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