Individual
JULISSA ANDAZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 PARALLEL PKWY, KANSAS CITY, KS 66109-3649
(913) 299-8860
Mailing address
10818 PARALLEL PKWY, KANSAS CITY, KS 66109-3649
(913) 299-8860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62366
KS
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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