Ise D'angelo, DMD

NPI #1063176204 in Lawrence, Kansas

Provider Information

NPI Number
1063176204
Entity Type
Individual
Name
Ise D'angelo, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Oct 25, 2021
Last Updated
Oct 27, 2021

Practice Location

Address
3110 NIEDER RD
State
Kansas
ZIP Code
66047-1950
Phone
(815) 289-7615

Specialties & Taxonomy Codes

Specialty
Dentist

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