Individual
MRS. DEBORAH KAY POLC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4203 S KERRINGTON DR, INDEPENDENCE, MO 64055-5485
(816) 804-5182
Mailing address
4203 S KERRINGTON DR, INDEPENDENCE, MO 64055-5485
(816) 804-5182
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
001028
MO
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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