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Edward Perkins D.D.S. PC

Dentist, General Practice in Kansas Ctiy, MO. Organization (NPI-2).

NPI number1487904058
StatusActive
Last updated in NPPESOct 25, 2012

Details

NPI
1487904058
Entity type
Organization (NPI-2)
Legal business name
Edward Perkins D.D.S. PC
Organization subpart
No
Enumeration date
Sep 11, 2012
Last updated
Oct 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice015596MOYes

Practice location

5314 E 115 St
Kansas Ctiy, MO 64137

Phone 816-761-2878 · Fax 816-761-0614

Mailing address

5314 E 115 St
Kansas Ctiy, MO 64137

Phone 816-761-2878 · Fax 816-761-0614

Authorized official

Edward John Perkins
Owner
8167612878

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