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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