Individual
NADIA A LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2931
Mailing address
PO BOX 478, MOUNT LAUREL, NJ 08054-0478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039499
PA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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