THAER DAIFALLAH

KANSAS CITY, MO
NPI1699901868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: MO  2009013156)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO  2009013156)
204E00000X Oral & Maxillofacial Surgery
(Licence: KS  60883)
2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck
(Licence: MO  2009013156)
Enumeration Date2009-06-02
Last Update Date2020-11-19
Business Address
Dr. THAER DAIFALLAH DDS
2101 CHARLOTTE ST
KANSAS CITY, MO 64108-2727
Phone number: 816-404-0500
Mailing Address
Dr. THAER DAIFALLAH DDS
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-0500