Organization
ENRICH DENTAL SC SERIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON LESLIE RICHARDS DDS (DENTIST/OWNER)
(816) 447-7096
Entity
Organization
Contact information
Practice address
104 S STERLING AVE, SUGAR CREEK, MO 64054-1215
(816) 254-6557
(816) 254-6550
Mailing address
104 S STERLING AVE, SUGAR CREEK, MO 64054-1215
(816) 254-6557
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
11/04/2020
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