Individual
DR. LISA BETH BIENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1934 E CAMELBACK RD STE 110, PHOENIX, AZ 85016-4126
(602) 903-4894
(602) 675-9843
Mailing address
1934 E CAMELBACK RD STE 110, PHOENIX, AZ 85016-4126
(602) 903-4894
(602) 675-9843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7308
AZ
122300000X
Dentist
P57185
NY
1223P0221X
Pediatric Dentistry
054398
NY
1223P0221X
Pediatric Dentistry
Primary
D07308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080451
—
AZ
Enumeration date
09/25/2008
Last updated
03/07/2022
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