Individual
LISA ANN GOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
805 N 36TH ST, SUITE A, SAINT JOSEPH, MO 64506-2979
(816) 232-3011
(816) 671-0205
Mailing address
805 N 36TH ST, SUITE A, SAINT JOSEPH, MO 64506-2979
(816) 232-3011
(816) 671-0205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15319
MO
Other
Enumeration date
04/19/2007
Last updated
08/13/2009
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