Individual
MR. JESSE GARLAND MAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
301 NE MULBERRY ST, STE 205, LEE'S SUMMIT, MO 64086
(816) 554-3400
Mailing address
301 N.E. MULBERRY #205, LEE'S SUMMIT, MO 64083
(816) 554-3400
(816) 246-4970
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010665
MO
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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