DENTAL DEPOT OF INDEPENDENCE, PLLC

INDEPENDENCE, MO
NPI1568193449
Entity TypeOrganization
Authorized ContactGAYLON ZISSA
Director Of Provider Relations
405-409-3789
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2022-06-21
Last Update Date2022-06-21
Business Address
DENTAL DEPOT OF INDEPENDENCE, PLLC
16801 E US HIGHWAY 24
INDEPENDENCE, MO 64056-1529
Phone number: 816-750-1345
Mailing Address
DENTAL DEPOT OF INDEPENDENCE, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-945-8941
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