Organization
KANSAS CITY SURGICAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ROBERT HLAVACEK MD (OWNER/OPERATOR)
(816) 286-4126
Entity
Organization
Contact information
Practice address
8080 NORTH FLINTLOCK ROAD, KANSAS CITY, MO 64158
(816) 286-4126
(816) 278-5797
Mailing address
1428 TIMBER RIDGE DR., LIBERTY, MO 64068-1126
(816) 286-4126
(816) 278-5797
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
016083
MO
Other
Enumeration date
09/26/2012
Last updated
10/24/2012
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