Individual
JOSHUA AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 NE DOUGLAS ST, LEES SUMMIT, MO 64063-2037
(816) 524-1337
Mailing address
103 NE DOUGLAS ST, LEES SUMMIT, MO 64063-2037
(816) 524-1337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2023020183
MO
Other
Enumeration date
06/01/2023
Last updated
06/01/2026
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