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Individual

DR. LYNN ROOSA FRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 E 25TH ST, ROOM 101-O, KANSAS CITY, MO 64108-2716
(816) 235-2200
(816) 235-5408
Mailing address
650 E 25TH ST, ROOM 101-O, KANSAS CITY, MO 64108-2716
(816) 235-2200
(816) 235-5408

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
014404
MO

Other

Enumeration date
10/30/2013
Last updated
10/30/2013
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