Raytown Dental Pllc

NPI #1205416047 in Raytown, Missouri

Provider Information

NPI Number: 1205416047
Entity Type: Organization
Organization Name: Raytown Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 14, 2021
Last Updated: Nov 8, 2023

Practice Location

Address: 10208 E STATE ROUTE 350
City: Raytown
State: Missouri
ZIP Code: 64138-1805
Phone: (816) 356-2476

Authorized Official

Name: CREED CARDON
Title: OWNER
Phone: (918) 998-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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