Kyle Samples

NPI #1407146764 in Sedalia, Missouri

Provider Information

NPI Number: 1407146764
Entity Type: Individual
Name: Kyle Samples
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 7, 2011
Last Updated: Jul 28, 2016

Practice Location

Address: 821 WESTWOOD DR
City: Sedalia
State: Missouri
ZIP Code: 65301-2102
Phone: (660) 826-4774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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