Individual
RACHEL BRUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
(816) 525-7373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019022250
MO
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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