Organization
LISA A BLOCK, DMD, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A BLOCK DMD, MS (PRESIDENT)
(253) 858-8581
Entity
Organization
Contact information
Practice address
3519 56TH ST NW, SUITE 140, GIG HARBOR, WA 98335-8593
(253) 858-8581
(253) 858-2189
Mailing address
3519 56TH ST NW, SUITE 140, GIG HARBOR, WA 98335-8593
(253) 858-8581
(253) 858-2189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6846
WA
1223P0221X
Pediatric Dentistry
Primary
6692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5013925
—
WA
Enumeration date
08/12/2008
Last updated
08/12/2008
Update your record
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