Individual
DR. LISA Y. PINA-AWOSIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6515 CENTRAL AVE, PORTAGE, IN 46368-3101
(219) 762-7080
(219) 763-4012
Mailing address
6515 CENTRAL AVE, PORTAGE, IN 46368-3101
(219) 762-7080
(219) 763-4012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011574A
IN
Other
Enumeration date
01/17/2011
Last updated
07/24/2020
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