JOHN MOUSE

KANSAS CITY, MO
NPI1710070008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  DE012666)
Enumeration Date2006-10-01
Last Update Date2007-07-08
Business Address
-- JOHN MOUSE
4321 NE VIVION RD STE 101
KANSAS CITY, MO 64119-2862
Phone number: 816-453-4994
Mailing Address
-- JOHN MOUSE
4321 NE VIVION RD STE 101
KANSAS CITY, MO 64119-2862
Phone number:
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