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NPI Code Detail

MEDICARE: DR. FERNANDO ANDREE PAREDES-BUENO DDS

MEDICARE: DR. FERNANDO ANDREE PAREDES-BUENO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2020013547MO

General Provider Information

NPI Number : 1871116087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO ANDREE PAREDES-BUENO DDS
Provider Business Mailing Address
First Line : 2836 EATON ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2160
Country : US
Telephone Number : 913-226-0052
Fax Number :
Provider Business Practice Location Address
First Line : 319 NE VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4510
Country : US
Telephone Number : 816-459-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2020
Last Update Date : 05/21/2020

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