Organization
PEDIATRIC DENTAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA K. THOMAS D.D.S. (OWNER)
(816) 525-5447
Entity
Organization
Contact information
Practice address
3355 NE RALPH POWELL ROAD, LEE'S SUMMIT, MO 64064
(816) 525-5447
Mailing address
3355 NE RALPH POWELL ROAD, LEE'S SUMMIT, MO 64064
(816) 525-5447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
015672
MO
Other
Enumeration date
03/16/2007
Last updated
03/10/2008
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