| Smile Safari Of Missouri | |
|
10016 E 63rd St Raytown MO 64133-5102 | |
| (816) 313-8485 | |
| Not Available |
| Full Name | Smile Safari Of Missouri |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10016 E 63rd St, Raytown, Missouri |
| Authorized Official Name and Position | Bonnie Brizendine (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6145638681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Safari Of Missouri 1709 S Mur Len Rd Olathe KS 66062-2611 Ph: (913) 353-4001 | Smile Safari Of Missouri 10016 E 63rd St Raytown MO 64133-5102 Ph: (816) 313-8485 |
| NPI Number | 1538622071 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538622071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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