LIGHTHOUSE DENTAL LLC

RAYTOWN, MO
NPI1710045224
Entity TypeOrganization
Authorized ContactJACK E FERGUSON
Co Owner Dentist
816-356-2476
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-12-05
Last Update Date2020-08-22
Business Address
LIGHTHOUSE DENTAL LLC
10803A E 350 HWY
RAYTOWN, MO 64138
Phone number: 816-356-2476
Mailing Address
LIGHTHOUSE DENTAL LLC
10803A E 350 HWY
RAYTOWN, MO 64138
Phone number: 816-356-2476