Individual
DR. LISA R GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10203 LEAVENWORTH ROAD, KANSAS CITY, KS 66109
(913) 299-3999
(913) 299-3165
Mailing address
10203 LEAVENWORTH ROAD, KANSAS CITY, KS 66109
(913) 299-3999
(913) 299-3165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6418
KS
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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