Individual
LISA BRILZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4805 NE ST JAMES RD, VANCOUVER, WA 98663-2155
(360) 823-6405
Mailing address
4805 NE ST JAMES RD, VANCOUVER, WA 98663-2155
(360) 693-2544
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007421
WA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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