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1285465120
SOUTHTOWN FAMILY DENTAL LLC
KANSAS CITY, MO
NPI
1285465120
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Entity Type
Organization
Authorized Contact
RICHARD S CAMPOS
Owner/Dentist
573-201-9262
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
SOUTHTOWN FAMILY DENTAL LLC
19 E GREGORY BLVD
KANSAS CITY, MO 64114-1117
Phone number: 573-201-9262
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Mailing Address
SOUTHTOWN FAMILY DENTAL LLC
19 E GREGORY BLVD
KANSAS CITY, MO 64114-1117
Phone number: 573-201-9262
Copy
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