Individual
SHIRLEY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2023024851
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
10/25/2023
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