CLAYCOMO DENTAL LLC is a dental clinic center in Kansas City, MO. CLAYCOMO DENTAL LLC NPI is 1942746896. The provider is registered as an organization entity type.
The provider's business location address is:
244 E US HIGHWAY 69
SUITE 101
KANSAS CITY, MO
ZIP 64119-184
Phone: (816) 454-1313
The provider's authorized official is Bryan Shewanick .
The authorized official title is Member and has the following contact phone number (816) 454-1313.
The CLIA number assigned to this NPI record is 26D0870910 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/17/2017 and was last updated on 1/17/2017.