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Individual

MARIA LISYANSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
16138 PILOT KNOB RD, LAKEVILLE, MN 55044-4105
(952) 679-7779
Mailing address
15649 EDDY CREEK WAY, APPLE VALLEY, MN 55124-6199
(412) 628-5965

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
37572
TX
1223G0001X
General Practice Dentistry
Primary
D14844
MN

Other

Enumeration date
07/20/2021
Last updated
05/07/2026
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