Individual
MRS. ELIZABETH BLACKWELL NILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
10 NW CHIPMAN ROAD, LEES SUMMIT, MO 64063-1929
(816) 524-6525
(816) 524-8403
Mailing address
10 NW CHIPMAN ROAD, LEES SUMMIT, MO 64063-1929
(816) 524-6525
(816) 524-8403
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
ORTHO0941
MO
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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