Individual
LISA RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
532 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2615
(215) 946-3655
Mailing address
532 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2615
(215) 946-3655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023554
PA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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