Eastridge Family Dental, PC
NPI #1427660018 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1427660018
- Entity Type
- Organization
- Organization Name
- Eastridge Family Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 17, 2020
- Last Updated
- Feb 5, 2024
Practice Location
- Address
- 325 SE WILSON ST
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64063-2715
- Phone
- (816) 525-0399
Authorized Official
- Name
- BRAD NELSON
- Title
- OWNER
- Phone
- (405) 260-6080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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