Jacob a Laudie DDS LLC

NPI #1215198247 in Lees Summit, Missouri

Provider Information

NPI Number: 1215198247
Entity Type: Organization
Organization Name: Jacob a Laudie DDS LLC
Primary Specialty: Dentist
Enumeration Date: Jun 23, 2008
Last Updated: Jun 23, 2008

Practice Location

Address: 622 SW 3RD ST
Address 2: SUITE M
City: Lees Summit
State: Missouri
ZIP Code: 64063-2280
Phone: (816) 524-3535

Authorized Official

Name: JACOB A LAUDIE, DDS
Title: OWNER
Phone: (816) 524-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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