Pediatric Dental Specialists, Pa | |
3355 Ne Ralph Powell Road Lee's Summit MO 64064 | |
(816) 525-5447 | |
Not Available |
Full Name | Pediatric Dental Specialists, Pa |
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Speciality | Clinic/center - Dental |
Location | 3355 Ne Ralph Powell Road, Lee's Summit, Missouri |
Authorized Official Name and Position | Donna K. Thomas (OWNER) |
Authorized Official Contact | 8165255447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dental Specialists, Pa 3355 Ne Ralph Powell Road Lee's Summit MO 64064 Ph: (816) 525-5447 | Pediatric Dental Specialists, Pa 3355 Ne Ralph Powell Road Lee's Summit MO 64064 Ph: (816) 525-5447 |
NPI Number | 1811011018 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 03/10/2008 |
Identifier | Type | State | Issuer |
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1811011018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 015672 (Missouri) | Primary |