Individual
MICHAEL STEVEN LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2600 N MILITARY TRL STE 310, BOCA RATON, FL 33431-6315
(561) 997-4080
Mailing address
2030 S OCEAN DR APT 1714, HALLANDALE BEACH, FL 33009-6613
(561) 573-8741
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN13579
FL
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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