| Jacob a Laudie DDS LLC | |
|
622 Sw 3rd St Suite M Lees Summit MO 64063-2280 | |
| (816) 524-3535 | |
| (816) 524-3530 |
| Full Name | Jacob a Laudie DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 622 Sw 3rd St, Lees Summit, Missouri |
| Authorized Official Name and Position | Jacob a Laudie (OWNER) |
| Authorized Official Contact | 8165243535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob a Laudie DDS LLC 622 Sw 3rd St Suite M Lees Summit MO 64063-2280 Ph: (816) 524-3535 | Jacob a Laudie DDS LLC 622 Sw 3rd St Suite M Lees Summit MO 64063-2280 Ph: (816) 524-3535 |
| NPI Number | 1215198247 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215198247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2006014154 (Missouri) | Primary |
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