Organization
KANSAS CITY PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DRAKE (OFFICE MANAGER)
(816) 622-2000
Entity
Organization
Contact information
Practice address
3801 SOUTHWEST TRFY, KANSAS CITY, MO 64111-2902
(816) 622-2000
(816) 298-9214
Mailing address
3801 SOUTHWEST TRFY, KANSAS CITY, MO 64111-2902
(816) 622-2000
(816) 298-9214
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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