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Independence Avenue Dental Llc
Dental Clinic/Center in Independence, Missouri
NPI 1396982468

Independence Avenue Dental Llc is a Dental Clinic/Center based in Independence, MO and is specialized in Dental. Independence Avenue Dental Llc practices in Independence, MO. The NPI Number for Independence Avenue Dental Llc is 1396982468 and holds a License No. (Missouri).

The current practice location address for Independence Avenue Dental Llc is 1638 West 24 Highway, Independence, MO and can be reached out via phone at 816-461-6911 and via fax at 816-461-3675.

Location: 1638 West 24 Highway, Independence, MO, 64050
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Provider Profile Details
NPI Number
1396982468
Provider Name
Independence Avenue Dental Llc
Credential
Provider Entity Type
Organization
Address
1638 West 24 Highway, Independence, MO, 64050
Phone Number
816-461-6911
Fax Number
816-461-3675
Provider Enumeration Date
01/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
404078503 05 MO
institution
Provider Business Practice Location Address Details
Address
1638 West 24 Highway
City
State
Zip
64050
Phone Number
816-461-6911
Fax Number
816-461-3675
person
Provider Business Mailing Address Details
Address
1638 West 24 Highway
City
State
Zip
64050
Phone Number
816-461-6911
Fax Number
816-461-3675
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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