| Opdahl & Bowen DDS PC | |
|
19201 E Valley View Pkwy Ste A Independence MO 64055-6910 | |
| (816) 478-3600 | |
| (816) 478-0246 |
| Full Name | Opdahl & Bowen DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 19201 E Valley View Pkwy, Independence, Missouri |
| Authorized Official Name and Position | Kirk J Opdahl (DENTIST) |
| Authorized Official Contact | 8164783600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opdahl & Bowen DDS PC 19201 E Valley View Pkwy Ste A Independence MO 64055-6910 Ph: (816) 478-3600 | Opdahl & Bowen DDS PC 19201 E Valley View Pkwy Ste A Independence MO 64055-6910 Ph: (816) 478-3600 |
| NPI Number | 1790895043 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790895043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 013098 (Missouri) | Secondary |
| 122300000X | Dentist | 015713 (Missouri) | Primary |
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