Individual
JULIA LEE EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 NW MOCK AVE STE A, BLUE SPRINGS, MO 64015-3106
(816) 730-1199
Mailing address
12958 HIGHWAY U, ODESSA, MO 64076-6277
(816) 730-1199
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2020023985
MO
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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