Organization
DRTLCDDS LLC
Active
Other names
TLC Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN H. RETHMEYER D.D.S. (OWNER)
(816) 333-3337
Entity
Organization
Contact information
Practice address
9225 WARD PKWY, SUITE 100, KANSAS CITY, MO 64114-3336
(816) 333-3337
Mailing address
702 E 97TH ST, KANSAS CITY, MO 64131-3243
(816) 333-3337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 14809
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13191011
BLUE CROSS BLUE SHIELD
MO
Enumeration date
11/03/2006
Last updated
08/22/2020
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