Summit Lakes Dental Care, L.l.c.
NPI #1356750137 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1356750137
- Entity Type
- Organization
- Organization Name
- Summit Lakes Dental Care, L.l.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 6, 2014
- Last Updated
- Aug 6, 2014
Practice Location
- Address
- 3741 SW RAINTREE DR
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64082-4606
- Phone
- (816) 875-3339
Authorized Official
- Name
- DR. SUZANNE GRACE BECK, D.D.S.
- Title
- MEMBER
- Phone
- (816) 806-4001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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