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Individual

DR. LISA ANNE HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1621 E FLAMINGO RD, SUITE 17-A, LAS VEGAS, NV 89119-5276
(702) 892-0390
(702) 892-0910
Mailing address
1621 E FLAMINGO RD, SUITE 17-A, LAS VEGAS, NV 89119-5276
(702) 892-0390
(702) 892-0910

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2977
NV

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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