Individual
DR. SARA LAYNE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
833 SW LEMANS LN STE 234, LEES SUMMIT, MO 64082-4618
(816) 673-3132
Mailing address
833 SW LEMANS LN STE 234, LEES SUMMIT, MO 64082-4618
(816) 673-3132
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2011015349
MO
1223P0300X
Periodontics
61101
KS
Other
Enumeration date
03/30/2012
Last updated
04/22/2016
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