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1003266966
LORENZO KIDD NEILSEN
LEES SUMMIT, MO
NPI
1003266966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 61219)
Additional Taxonomies
122300000X Dentist
(Licence: MO 2016018480)
Enumeration Date
2016-06-21
Last Update Date
2016-08-07
Business Address
Dr. LORENZO KIDD NEILSEN D.D.S.
2033 SW STERLING DR
LEES SUMMIT, MO 64081-4040
Phone number: 801-891-2043
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Mailing Address
Dr. LORENZO KIDD NEILSEN D.D.S.
2033 SW STERLING DR
LEES SUMMIT, MO 64081-4040
Phone number: 801-891-2043
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