Ian Kuklenski, DDS
Dentist in Belton, MO. Individual provider (NPI-1).
NPI number1982122164
StatusActive
Last updated in NPPESSep 7, 2017
Details
- NPI
- 1982122164
- Entity type
- Individual (NPI-1)
- Name
- Ian Kuklenski
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2017
- Last updated
- Sep 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2017021247 | MO | Yes |
Practice location
8435 Clint DrBelton, MO 64012-5330
Phone 816-331-5900
Mailing address
8435 Clint DrBelton, MO 64012-5330
Phone 816-331-5900
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