Organization
JESSE G. MAIZE, DDS P.C.
Active
Organization
JESSE G. MAIZE, DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE G. MAIZE DDS (PRESIDENT)
(816) 554-3400
Entity
Organization
Contact information
Practice address
1321 SW MARKET ST, LEES SUMMIT, MO 64081-2904
(816) 554-3400
Mailing address
1321 SW MARKET ST, LEES SUMMIT, MO 64081-2904
(816) 554-3400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10665
MO
Other
Enumeration date
03/04/2007
Last updated
08/20/2012
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