Smile Safari of Missouri

NPI #1538622071 in Raytown, Missouri

Provider Information

NPI Number: 1538622071
Entity Type: Organization
Organization Name: Smile Safari of Missouri
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 11, 2019
Last Updated: Apr 11, 2019

Practice Location

Address: 10016 E 63RD ST
City: Raytown
State: Missouri
ZIP Code: 64133-5102
Phone: (816) 313-8485

Authorized Official

Name: BONNIE BRIZENDINE
Title: DIRECTOR OF OPERATIONS
Phone: (614) 563-8681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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