Individual
JAY JOYCE LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1600 WENTZVILLE PKWY STE 101, WENTZVILLE, MO 63385-3429
(636) 445-3063
Mailing address
5211 BRADY WAY, LAKE SAINT LOUIS, MO 63367-4162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024033375
MO
1223G0001X
General Practice Dentistry
RES004649
OH
Other
Enumeration date
03/22/2023
Last updated
08/24/2024
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