Northland Dental

NPI #1649672569 in Gladstone, Missouri

Provider Information

NPI Number: 1649672569
Entity Type: Organization
Organization Name: Northland Dental
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 7229 N OAK TRFY
City: Gladstone
State: Missouri
ZIP Code: 64118-1852
Phone: (816) 436-0354

Authorized Official

Name: DR. ANDREW STEVEN MANCIN, D.D.S., M.S.
Title: DENTIST
Phone: (816) 436-2760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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