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Individual

ISE D'ANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3110 NIEDER RD, LAWRENCE, KS 66047-1950
(815) 289-7615
Mailing address
50 E 13TH ST UNIT 1904, KANSAS CITY, MO 64106-2947
(815) 289-7615

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61972
KS

Other

Enumeration date
10/25/2021
Last updated
10/27/2021
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