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Individual

DR. LISA STEWART CRISP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5368 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 747-0020
(804) 747-3299
Mailing address
5368 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 747-0020
(804) 747-3299

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006064
VA

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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