Whalio Doctors

NPI 1063176204

Ise D'Angelo, DMD

Practitioner Dentist Lawrence, KS

Practice location

Address
3110 Nieder Rd, Lawrence, KS 66047-1950
Phone
(815) 289-7615
Mailing address
50 E 13th St Unit 1904, Kansas City, MO 64106-2947

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 61972 (KS)

Registry record

NPI
1063176204
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2021
Record last updated
27 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.