SearchMissouri1223G0001X

Susan Widick, D.D.S

NPI 1326084427 · on the registry since 2006 · sole proprietor

Practice

Address
3926 S Lynn Ct
Independence, MO 64055
Phone
(816) 254-7800
Fax
(816) 254-7803
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri