Individual
IAN KUKLENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8435 CLINT DR, BELTON, MO 64012-5330
(816) 331-5900
Mailing address
8435 CLINT DR, BELTON, MO 64012-5330
(816) 331-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017021247
MO
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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