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Organization

DANIEL J THOMAS, DDS PERIODONTAL SPECIALISTS, PC

Active
Other names
Periodontal Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN FREEMAN (INSURANCE COORDINATOR)
(913) 663-4867
Entity
Organization

Contact information

Practice address
3355 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 525-4867
(816) 268-5873
Mailing address
3355 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 525-4867
(816) 268-5873

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015600
MO

Other

Enumeration date
04/07/2010
Last updated
04/07/2010
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