MITCHELL BLACKER

KANSAS CITY, MO
NPI1497718969
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MO  13939)
Enumeration Date2006-04-07
Last Update Date2015-05-27
Business Address
MITCHELL BLACKER
11208 QUINCY AVE
KANSAS CITY, MO 64137-2504
Phone number: 816-763-8400
Mailing Address
MITCHELL BLACKER
11208 QUINCY AVE
KANSAS CITY, MO 64137-2504
Phone number: 816-763-8400
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