Individual
DR. LISA DIANE KULIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2615 ELK DR STE 1, MINOT, ND 58701-1200
(701) 839-4440
(701) 839-1911
Mailing address
2615 ELK DR STE 1, MINOT, ND 58701-1200
(701) 839-4440
(701) 839-1911
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2415
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ND
Enumeration date
04/26/2018
Last updated
08/18/2020
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