Individual
DR. LISA MARIE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6801 RIDGE AVE, PHILADELPHIA, PA 19128-2446
(215) 483-6633
Mailing address
6801 RIDGE AVE, PHILADELPHIA, PA 19128-2446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040357
PA
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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