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1790806032
KIRK JASON OPDAHL
INDEPENDENCE, MO
NPI
1790806032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MO 15713)
Enumeration Date
2007-04-03
Last Update Date
2010-09-30
Business Address
DR. KIRK JASON OPDAHL D.D.S.
19201 E VALLEY VIEW PKWY SUITE A
INDEPENDENCE, MO 64055-6910
Phone number: 816-478-3600
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Mailing Address
DR. KIRK JASON OPDAHL D.D.S.
19201 E VALLEY VIEW PKWY SUITE A
INDEPENDENCE, MO 64055-6910
Phone number: 816-478-3600
Copy
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