Individual
DR. BRUCE J. LISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1122 CHESTNUT AVE, BROOKLYN, NY 11230-5844
(718) 942-3888
(718) 942-3899
Mailing address
1122 CHESTNUT AVE, BROOKLYN, NY 11230-5844
(718) 942-3888
(718) 942-3899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045725
NY
Other
Enumeration date
07/17/2006
Last updated
03/29/2022
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