# LISA M DUNCAN STRIETER DDS LLC

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

## Provider details

- **NPI number:** 1720475494
- **Authorized official:** DR. LISA M STRIETER DDS (OWNER)
- **Authorized official phone:** (260) 563-7322

## Contact information

- **Practice address:** 948 MANCHESTER AVE, WABASH, IN 46992-1640
- **Practice address phone:** (260) 563-7322
- **Practice address fax:** (260) 563-8653
- **Mailing address:** 948 MANCHESTER AVE, WABASH, IN 46992-1640
- **Mailing address phone:** (260) 563-7322
- **Mailing address fax:** (260) 563-8653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010490 | IN | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015