DENTAL DEPOT OF LEES SUMMIT, PLLC

LEES SUMMIT, MO
NPI1336828326
Entity TypeOrganization
Authorized ContactGAYLON ZISSA
Director Of Provider Relations
405-945-8941
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-07-17
Last Update Date2023-07-17
Business Address
DENTAL DEPOT OF LEES SUMMIT, PLLC
1501 NE RICE ROAD
LEES SUMMIT, MO 64086
Phone number: 816-402-3123
Mailing Address
DENTAL DEPOT OF LEES SUMMIT, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-945-8941
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