Raytown Dental LLC

NPI #1700029253 in Raytown, Missouri

Provider Information

NPI Number: 1700029253
Entity Type: Organization
Organization Name: Raytown Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 14, 2009
Last Updated: Apr 14, 2009

Practice Location

Address: 9600 E HIGHWAY 350
City: Raytown
State: Missouri
ZIP Code: 64133-6513
Phone: (816) 356-2273

Authorized Official

Name: DR. MATHEW DRAPER
Title: OWNER
Phone: (816) 356-2273

Specialties & Taxonomy Codes

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

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