Individual
DR. A. BARRY LISHAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2120 M-137, INTERLOCHEN PROFESSIONAL BUILDING, INTERLOCHEN, MI 49643-0095
(231) 276-9051
Mailing address
PO BOX 95, INTERLOCHEN, MI 49643-0095
(231) 276-9051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011409
MI
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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