Etheridge Complete Dentistry LLC
NPI #1902378722 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1902378722
- Entity Type
- Organization
- Organization Name
- Etheridge Complete Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2018
- Last Updated
- Dec 18, 2018
Practice Location
- Address
- 818 NW PARK LN
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64063-1880
- Phone
- (816) 525-1655
Authorized Official
- Name
- DANA CHRISTIAN
- Title
- OFFICE MANAGER
- Phone
- (816) 525-1655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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