Organization · Type 2 NPI
Pediatric Dental Specialists, PA
Dental Clinic/Center · Lee's Summit, MO
NPI number
1811011018
Active
Practice location
3355 NE Ralph Powell Road
Lee's Summit, MO 64064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 015672 (MO) |
Dental Clinic/Center: Definition to come...
About NPI 1811011018
Pediatric Dental Specialists, PA's National Provider Identifier is 1811011018, issued on Mar 16, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lee's Summit, MO. The record was last updated on Mar 10, 2008.