| NPI | 1356750137 |
|---|---|
| Doing Business As | SUMMIT LAKES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SUZANNE GRACE BECK Member 816-806-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |