Summit Village Family Dental LLC
NPI #1932568060 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1932568060
- Entity Type
- Organization
- Organization Name
- Summit Village Family Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 17, 2016
- Last Updated
- Feb 17, 2016
Practice Location
- Address
- 600 NW MURRAY RD
- Address 2
- SUITE 304
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64081-1204
- Phone
- (816) 525-5414
Authorized Official
- Name
- BRYAN PACE
- Title
- BUSINESS MANAGER
- Phone
- (816) 525-5414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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