Dr. Edward D. Dallam
NPI #1346391695 in Independence, Missouri
Provider Information
- NPI Number
- 1346391695
- Entity Type
- Organization
- Organization Name
- Dr. Edward D. Dallam
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4437 S RIVER BLVD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-4658
- Phone
- (816) 373-8800
Authorized Official
- Name
- DR. EDWARD D. DALLAM, D.D.S.
- Title
- OWNER
- Phone
- (816) 373-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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