Organization
LYLY FISHER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLY FISHER DDS (OWNER, DENTIST)
(425) 271-5705
Entity
Organization
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 98057-2551
(425) 271-5705
(425) 271-0165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7067
WA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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