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Individual

DR. LORENZO KIDD NEILSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2033 SW STERLING DR, LEES SUMMIT, MO 64081-4040
(801) 891-2043
(913) 451-2959
Mailing address
2033 SW STERLING DR, LEES SUMMIT, MO 64081-4040
(801) 891-2043
(913) 451-2959

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2016018480
MO
122300000X
Dentist
Primary
61219
KS

Other

Enumeration date
06/21/2016
Last updated
08/07/2016
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