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Organization

AUGUSTINE DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLI GILL MBA (PRACTICE ADMINISTRATOR)
(785) 766-2363
Entity
Organization

Contact information

Practice address
103 NE DOUGLAS ST, LEES SUMMIT, MO 64063-2037
(816) 524-1337
Mailing address
103 NE DOUGLAS ST, LEES SUMMIT, MO 64063-2037
(816) 524-1337

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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