Organization
SUMMIT LAKES DENTAL CARE, L.L.C.
Active
Other names
Summit Lakes Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE GRACE BECK D.D.S. (MEMBER)
(816) 806-4001
Entity
Organization
Contact information
Practice address
3741 SW RAINTREE DR, LEES SUMMIT, MO 64082-4606
(816) 875-3339
Mailing address
3741 SW RAINTREE DR, LEES SUMMIT, MO 64082-4606
(816) 875-3339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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