| Senior Dental Care Of Mo, Llc | |
|
120 S Central Ave Clayton MO 63105-1705 | |
| (888) 674-1211 | |
| Not Available |
| Full Name | Senior Dental Care Of Mo, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 S Central Ave, Clayton, Missouri |
| Authorized Official Name and Position | John Rosenbaum (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9136477926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Dental Care Of Mo, Llc 8500 W 110th St Ste 450 Overland Park KS 66210-4029 Ph: () - | Senior Dental Care Of Mo, Llc 120 S Central Ave Clayton MO 63105-1705 Ph: (888) 674-1211 |
| NPI Number | 1447830294 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447830294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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