| Kapilikisha DMD LLC | |
|
1193 Branson Hills Pkwy Branson MO 65616-9942 | |
| (417) 213-3025 | |
| Not Available |
| Full Name | Kapilikisha DMD LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1193 Branson Hills Pkwy, Branson, Missouri |
| Authorized Official Name and Position | Mukuka Kapilikisha (OWNER) |
| Authorized Official Contact | 4172133025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kapilikisha DMD LLC Po Box 70887 Cleveland OH 44190-0887 | Kapilikisha DMD LLC 1193 Branson Hills Pkwy Branson MO 65616-9942 Ph: (417) 213-3025 |
| NPI Number | 1528716172 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528716172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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