Independence Avenue Dental LLC
NPI #1396982468 in Independence, Missouri
Provider Information
- NPI Number
- 1396982468
- Entity Type
- Organization
- Organization Name
- Independence Avenue Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 12, 2009
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 1638 WEST 24 HIGHWAY
- City
- Independence
- State
- Missouri
- ZIP Code
- 64050
- Phone
- (816) 461-6911
Authorized Official
- Name
- DR. RANDAL ADAM SILVER, DMD
- Title
- OWNER
- Phone
- (816) 461-6911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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