DR. Lisa R Gonzales, D.D.S.

NPI #1205953742 in Kansas City, Kansas

Provider Information

NPI Number
1205953742
Entity Type
Individual
Name
DR. Lisa R Gonzales, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
10203 LEAVENWORTH ROAD
State
Kansas
ZIP Code
66109
Phone
(913) 299-3999

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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