Individual
JEFFREY BERT LISSAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436-7245
(561) 733-4004
(561) 733-8182
Mailing address
3399 WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33436-7245
(561) 733-4004
(561) 733-8182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7899
FL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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