Organization
JACOB A LAUDIE DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB A LAUDIE DDS (OWNER)
(816) 524-3535
Entity
Organization
Contact information
Practice address
622 SW 3RD ST, SUITE M, LEES SUMMIT, MO 64063-2280
(816) 524-3535
(816) 524-3530
Mailing address
622 SW 3RD ST, SUITE M, LEES SUMMIT, MO 64063-2280
(816) 524-3535
(816) 524-3530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2006014154
MO
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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