Organization
PHILIP A LISK, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ALAN LISK DDS (PRESIDENT)
(919) 870-6892
Entity
Organization
Contact information
Practice address
901 PAVERSTONE DR, A, RALEIGH, NC 27615-4710
(919) 870-6892
(919) 870-1746
Mailing address
901 PAVERSTONE DR, A, RALEIGH, NC 27615-4710
(919) 870-6892
(919) 870-1746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6746
NC
Other
Enumeration date
09/01/2006
Last updated
02/02/2016
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