Individual
MISS DANIELLE MIGNON LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
Mailing address
504 SW MURRAY RD, LEES SUMMIT, MO 64081-2345
(816) 739-0729
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
11364
KS
124Q00000X
Dental Hygienist
Primary
2011017977
MO
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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