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Organization
LUBISICH & LUBISICH DMD PLLC
Active
Organization
LUBISICH & LUBISICH DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEF WILLIAM LUBISICH D.M.D., M.S. (DENTIST)
(360) 694-9337
Entity
Organization
Contact information
Practice address
805 NE 98TH CIR STE 100, VANCOUVER, WA 98665-9134
(360) 907-3849
(360) 882-8080
Mailing address
805 NE 98TH CIR STE 100, VANCOUVER, WA 98665-9134
(360) 907-3849
(360) 882-8080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326260035
NPI
WA
01
—
1912228073
NPI
WA
Enumeration date
06/15/2017
Last updated
07/21/2022
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