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Individual

LISA M PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3904 BECK RD STE 190, ST. JOSEPH, MO 64506
(816) 232-6112
(816) 232-1326
Mailing address
3904 BECK RD STE 190, ST. JOSEPH, MO 64506
(816) 232-6112
(816) 232-1326

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013919
MO

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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