Individual
MRS. ANN MARIE LISNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8 W. GARTNER ROAD, NAPERVILLE, IL 60540
(630) 369-8000
Mailing address
8 W. GARTNER ROAD, NAPERVILLE, IL 60540
(630) 369-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.024264
IL
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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