Individual
LISA PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8108 N NEBRASKA AVE, TAMPA, FL 33604-3103
(813) 712-1930
(813) 712-1929
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 866-0929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20707
FL
Other
Enumeration date
03/27/2014
Last updated
07/26/2014
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