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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
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