Individual
DR. JEIMY YSABEL DIAZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1153 NE RICE RD, LEES SUMMIT, MO 64086-6788
(816) 477-7070
Mailing address
1153 NE RICE RD, LEES SUMMIT, MO 64086-6788
(816) 477-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021035892
MO
Other
Enumeration date
03/20/2020
Last updated
09/10/2024
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