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1245842202
SOUTH INDEPENDENCE DENTAL LLC
INDEPENDENCE, MO
NPI
1245842202
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Entity Type
Organization
Authorized Contact
MICHAEL LEE
Partner
816-897-5850
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-08-20
Last Update Date
2020-09-14
Business Address
SOUTH INDEPENDENCE DENTAL LLC
12400 E 40 HWY
INDEPENDENCE, MO 64055-5929
Phone number: 816-897-5850
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Mailing Address
SOUTH INDEPENDENCE DENTAL LLC
12400 E 40 HWY
INDEPENDENCE, MO 64055-5929
Phone number: 816-897-5850
Copy
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