Individual
DR. ANNA LISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5712 E LAKE SAMMAMISH PKWY SE STE 108, ISSAQUAH, WA 98029-8943
(425) 392-3900
Mailing address
5712 E LAKE SAMMAMISH PKWY SE STE 108, ISSAQUAH, WA 98029-8943
(425) 392-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60065361
WA
Other
Enumeration date
10/25/2006
Last updated
03/30/2010
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