Individual
RICARDO LEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 S NORTHPARK LN, JOPLIN, MO 64801-8441
(713) 703-3296
Mailing address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014018841
MO
1223G0001X
General Practice Dentistry
61273
KS
Other
Enumeration date
06/20/2014
Last updated
01/15/2021
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