SUMMIT PEDIATRIC DENTISTRY
Dentist at Chipman Rd, Lees Summit, MO

License number
Missouri 2006037222
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: MONCY MATHEW DDS
Title: OWNER/DENTIST
Phone: (816) 256-0073
Address
Address
24 NW Chipman Rd STE B, Lees Summit, MO 64063
National Provider ID: 1053848374
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEE'S SUMMIT PEDIATRIC DENTISTRY

811 NE Rice Rd, Lees Summit, MO 64086

Status:
Inactive
Registration:
May 20, 1991
Inactive since:
Aug 28, 2009
State ID:
X00227701
Business type:
Fictitious Name

Lee's Summit Pediatric Dentistry

248 NE Chipman Rd, Lees Summit, MO 64063

Status:
Inactive
Registration:
Jun 7, 2012
Inactive since:
Jun 7, 2017
State ID:
X01233314
Business type:
Fictitious Name

Dentist licenses in Missouri