Organization · Type 2 NPI

Etheridge Complete Dentistry LLC

General Practice Dentistry · Lees Summit, MO

NPI number 1902378722 Active

About NPI 1902378722

Etheridge Complete Dentistry LLC's National Provider Identifier is 1902378722, issued on Dec 18, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lees Summit, MO. The record was last updated on Dec 18, 2018.