Individual
BENJAMINE AUSTIN WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2310 HOLMES ST, KANSAS CITY, MO 64108-2602
(816) 404-2222
Mailing address
118 E 29TH ST # 118, KANSAS CITY, MO 64108-3805
(918) 760-9908
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
PENDING
MO
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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