Organization
ADVANCED DENTAL OF LEES SUMMIT LLC
Active
Other names
Advanced Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL BRUNKER DDS (OWNER/DENTIST)
(816) 525-7373
Entity
Organization
Contact information
Practice address
209 NW BLUE PKWY, LEES SUMMIT, MO 64063-1872
(816) 525-7373
Mailing address
209 NW BLUE PKWY, LEES SUMMIT, MO 64063-1872
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/10/2024
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