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Individual

LISBETH MICHELLE PULASKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
240 S 40TH ST FL 3, PHILADELPHIA, PA 19104-6030
(215) 746-3490
(215) 573-3864
Mailing address
240 S 40TH ST FL 3, PHILADELPHIA, PA 19104-6030
(215) 746-3490
(215) 573-3864

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039188
PA

Other

Enumeration date
08/21/2012
Last updated
08/21/2012
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