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3359 Ne Ralph Powell Rd Lee's Summit MO 64064 | |
(816) 875-1435 | |
(816) 524-2338 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3359 Ne Ralph Powell Rd, Lee's Summit, Missouri |
Authorized Official Name and Position | Susan Gray (INSURANCE COORDINATOR) |
Authorized Official Contact | 9136634867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3359 Ne Ralph Powell Rd Lee's Summit MO 64064 Ph: (816) 875-1435 | 3359 Ne Ralph Powell Rd Lee's Summit MO 64064 Ph: (816) 875-1435 |
NPI Number | 1346638814 |
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Provider Enumeration Date | 01/06/2015 |
Last Update Date | 01/06/2015 |
Identifier | Type | State | Issuer |
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1346638814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 6904 (Kansas) | Primary |