# LUBISICH & LUBISICH DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598295156
- **Authorized official:** DR. JOSEF WILLIAM LUBISICH D.M.D., M.S. (DENTIST)
- **Authorized official phone:** (360) 694-9337

## Contact information

- **Practice address:** 805 NE 98TH CIR STE 100, VANCOUVER, WA 98665-9134
- **Practice address phone:** (360) 907-3849
- **Practice address fax:** (360) 882-8080
- **Mailing address:** 805 NE 98TH CIR STE 100, VANCOUVER, WA 98665-9134
- **Mailing address phone:** (360) 907-3849
- **Mailing address fax:** (360) 882-8080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3764 | WA | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1326260035 | NPI | WA |
| 01 | — | 1912228073 | NPI | WA |