Individual
GARY J LIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2810 DEKALB PIKE, EAST NORRITON, PA 19401-1823
(610) 277-7374
Mailing address
2810 DEKALB PIKE, EAST NORRITON, PA 19401-1823
(610) 277-7374
(267) 753-6772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018571L
PA
Other
Enumeration date
06/06/2007
Last updated
02/12/2015
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