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Organization

LAKE SAMMAMISH FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA LISIN DDS (DENTIST)
(425) 392-3900
Entity
Organization

Contact information

Practice address
5712 E LAKE SAMMAMISH PKWY SE, STE 108, ISSAQUAH, WA 98029-8943
(425) 392-3900
Mailing address
5712 E LAKE SAMMAMISH PKWY SE, STE 108, ISSAQUAH, WA 98029-8943
(425) 392-3900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60065361
WA

Other

Enumeration date
06/16/2010
Last updated
06/16/2010
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