| Lee Plaza Dental Llc | |
|
4320 Wornall Rd Ste 446 Kansas City MO 64111-3235 | |
| (816) 376-0851 | |
| Not Available |
| Full Name | Lee Plaza Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4320 Wornall Rd Ste 446, Kansas City, Missouri |
| Authorized Official Name and Position | Wing Mann Lee (MANAGER AND SOLE MEMBER) |
| Authorized Official Contact | 6172012645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Plaza Dental Llc 4320 Wornall Rd Ste 446 Kansas City MO 64111-3235 Ph: (816) 376-0851 | Lee Plaza Dental Llc 4320 Wornall Rd Ste 446 Kansas City MO 64111-3235 Ph: (816) 376-0851 |
| NPI Number | 1568097236 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568097236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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