Organization
LISA KAKISHITA DMD LLC
Active
Other names
Aspire Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARNET KAKISHITA DMD (MANAGER)
(503) 577-4429
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE, #414, PORTLAND, OR 97205-2125
(503) 221-9439
Mailing address
833 SW 11TH AVE STE 414, PORTLAND, OR 97205-2118
(503) 221-9439
(503) 227-5923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8161
OR
Other
Enumeration date
11/08/2011
Last updated
01/13/2012
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