Individual
DR. LYLY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
406 BURNETT AVE S, RENTON, WA 98057-2551
(425) 271-5705
(425) 271-0165
Mailing address
406 BURNETT AVE S, RENTON, WA 98057
(425) 271-5705
(425) 271-0165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7067
WA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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