MARK EDWIN FLACK

BLUE SPRINGS, MO
NPI1144241589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO  12700)
Enumeration Date2006-07-21
Last Update Date2007-07-09
Business Address
Dr. MARK EDWIN FLACK D.D.S.
300 NW RR MIZE RD SUITE 100
BLUE SPRINGS, MO 64014-2528
Phone number: 816-229-3737
Mailing Address
Dr. MARK EDWIN FLACK D.D.S.
5457 NE WEDGEWOOD LN
LEES SUMMIT, MO 64064-1223
Phone number: 816-373-7968