Individual
MRS. MARISOL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7900 LEES SUMMIT RD, DEPARTMENT OF DENTISTRY, KANSAS CITY, MO 64139-1236
(816) 404-6896
Mailing address
7900 LEES SUMMIT RD, DEPARTMENT OF DENTISTRY, KANSAS CITY, MO 64139-1236
(816) 404-6896
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1999142094
MO
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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