Individual
MS. JOAN ROULSTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4025 NE LAKEWOOD WAY, SUITE 200, LEES SUMMIT, MO 64064
(816) 795-5626
(816) 795-5629
Mailing address
4025 NE LAKEWOOD WAY, SUITE 200, LEES SUMMIT, MO 64064
(816) 795-5626
(816) 795-5629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DO15528
MO
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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