| |
940 Nw Blue Parkway Suite A Lee's Summit MO 64086 | |
(816) 524-5752 | |
(816) 524-5743 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 940 Nw Blue Parkway, Lee's Summit, Missouri |
Authorized Official Name and Position | Alex R Sharifian (OWNER) |
Authorized Official Contact | 8165245752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8890 | 940 Nw Blue Parkway Suite A Lee's Summit MO 64086 Ph: (816) 524-5752 |
NPI Number | 1215358429 |
---|---|
Provider Enumeration Date | 12/16/2013 |
Last Update Date | 12/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215358429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |