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1710045224
LIGHTHOUSE DENTAL LLC
RAYTOWN, MO
NPI
1710045224
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Entity Type
Organization
Authorized Contact
JACK E FERGUSON
Co Owner Dentist
816-356-2476
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-12-05
Last Update Date
2020-08-22
Business Address
LIGHTHOUSE DENTAL LLC
10803A E 350 HWY
RAYTOWN, MO 64138
Phone number: 816-356-2476
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Mailing Address
LIGHTHOUSE DENTAL LLC
10803A E 350 HWY
RAYTOWN, MO 64138
Phone number: 816-356-2476
Copy
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