Individual
DR. ALISA HOPE WAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3100 PRINCETON PIKE, BLDG #4, SUITE E, LAWRENCEVILLE, NJ 08648-2300
(609) 895-8844
Mailing address
PO BOX 1494, PRINCETON, NJ 08542-1494
(609) 903-6615
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22D101847100
NJ
Other
Enumeration date
03/13/2007
Last updated
01/29/2010
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