Organization
LEE PLAZA DENTAL LLC
Active
Other names
LEE PLAZA DENTAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WING MANN LEE DMD (MANAGER AND SOLE MEMBER)
(617) 201-2645
Entity
Organization
Contact information
Practice address
4320 WORNALL RD STE 446, KANSAS CITY, MO 64111-3235
(816) 376-0851
Mailing address
4320 WORNALL RD STE 446, KANSAS CITY, MO 64111-3235
(816) 376-0851
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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