License holder summary

Shoal Creek Pediatric Dentistry is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for Shoal Creek Pediatric Dentistry is 9051 NE 81st Ter , Kansas City 64158. This licensed professional license is current. The license was granted 09/13/2010 and expired on 06/01/2015.

Missouri

Division of Professional Registration

Shoal Creek Pediatric Dentistry
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2010032486  
Date granted
09/13/2010
Date expires
06/01/2015
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
9051 NE 81st Ter 
licensingmissouri.org
ID 2043612
LAST UPDATED 2026-06-09 02:43:10 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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