Organization · Type 2 NPI
Dental Depot of Lees Summit, PLLC
Dental Clinic/Center · Lees Summit, MO
NPI number
1336828326
Active
Practice location
1501 NE Rice Road
Lees Summit, MO 64086
Mailing address
2828 NW 30th St
Oklahoma City, OK 73112-7404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1336828326
Dental Depot of Lees Summit, PLLC's National Provider Identifier is 1336828326, issued on Jul 17, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lees Summit, MO. The record was last updated on Jul 17, 2023.