North Independence Dental LLC
NPI #1104516608 in Independence, Missouri
Provider Information
- NPI Number
- 1104516608
- Entity Type
- Organization
- Organization Name
- North Independence Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 9, 2023
- Last Updated
- May 9, 2023
Practice Location
- Address
- 1134 S NOLAND RD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64050-4560
- Phone
- (662) 801-0563
Authorized Official
- Name
- DR. ANTJUAN HAMPTON, DMD
- Title
- DENTIST
- Phone
- (662) 801-0563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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