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1427660018
EASTRIDGE FAMILY DENTAL, PC
LEES SUMMIT, MO
NPI
1427660018
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Entity Type
Organization
Authorized Contact
BRAD NELSON
Owner
405-260-6080
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-08-17
Last Update Date
2024-02-05
Business Address
EASTRIDGE FAMILY DENTAL, PC
325 SE WILSON ST
LEES SUMMIT, MO 64063-2715
Phone number: 816-525-0399
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Mailing Address
EASTRIDGE FAMILY DENTAL, PC
325 SE WILSON ST
LEES SUMMIT, MO 64063-2715
Phone number: 816-525-0399
Copy
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