Kingdom Kids Dental LLC
NPI #1023864824 in Kansas City, Missouri
Provider Information
- NPI Number
- 1023864824
- Entity Type
- Organization
- Organization Name
- Kingdom Kids Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 24, 2024
- Last Updated
- Apr 24, 2024
Practice Location
- Address
- 3102 PROSPECT AVE
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64128-1559
- Phone
- (816) 674-9796
Authorized Official
- Name
- KRISTA SHEHAN
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (816) 674-9796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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