Individual
SUMMER WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
706 NW HWY 7, SUITE A, BLUE SPRINGS, MO 64014
(816) 622-2843
(816) 598-8914
Mailing address
1104 NW 3RD ST, OAK GROVE, MO 64075-8614
(816) 813-8186
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2020022650
MO
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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