Individual
DR. KRIS LISA SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7901 DOUGLAS AVE, SUITE A, URBANDALE, IA 50322-2451
(515) 276-7800
(515) 276-8400
Mailing address
7901 DOUGLAS AVE, SUITE A, URBANDALE, IA 50322-2451
(515) 276-7800
(515) 276-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6545
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005470
—
IA
Enumeration date
07/29/2006
Last updated
07/08/2007
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