MIDWESTPERIODONTICS

SAINT JOSEPH, MO
NPI1194191213
Entity TypeOrganization
Authorized ContactSTEVE SOUTHARD
President
816-390-2500
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: MO  14401)
Enumeration Date2015-08-12
Last Update Date2015-08-12
Business Address
MIDWESTPERIODONTICS
1006 W SAINT MAARTENS DR SUITE A
SAINT JOSEPH, MO 64506-2966
Phone number: 816-364-3325
Mailing Address
MIDWESTPERIODONTICS
1006 W SAINT MAARTENS DR SUITE A
SAINT JOSEPH, MO 64506-2966
Phone number: 816-364-3325
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