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Odessa Pediatric Dental Care

NPI #1356103808 in Odessa, Missouri

Provider Information

NPI Number
1356103808
Entity Type
Organization
Organization Name
Odessa Pediatric Dental Care
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 29, 2024
Last Updated
Jan 29, 2024

Practice Location

Address
406 N 4TH ST STE A
City
Odessa
State
Missouri
ZIP Code
64076-1680
Phone
(816) 000-0000

Authorized Official

Name
STACIA WEDDLE
Title
INSURANCE DEPARTMENT MANAGER
Phone
(816) 229-4560

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Dental — Dental
Dentist - Pediatric Dentistry — Pediatric Dentistry

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