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Individual

DR. LISA SEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
50 CENTRE ON THE LK, LAKE ST LOUIS, MO 63367-2938
(636) 578-2043
Mailing address
50 CENTRE ON THE LK, LAKE ST LOUIS, MO 63367-2938

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2015018298
MO

Other

Enumeration date
09/23/2017
Last updated
09/23/2017
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