Rm Dental Group East

NPI #1972040699 in Kansas City, Missouri

Provider Information

NPI Number: 1972040699
Entity Type: Organization
Organization Name: Rm Dental Group East
Primary Specialty: Dentist
Enumeration Date: Jan 20, 2017
Last Updated: Jan 20, 2017

Practice Location

Address: 4516 BROADWAY
Address 2: UNIT 301
City: Kansas City
State: Missouri
ZIP Code: 64111-3381
Phone: (573) 230-6862

Authorized Official

Name: DR. PETER BENJAMIN MCCLELLAN, DDS
Title: OWNER DENTIST
Phone: (573) 230-6862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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