Individual
ANDREA DECERCE LISELL
Active
Individual
ANDREA DECERCE LISELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN18169
FL
1223E0200X
Endodontics
Primary
DN18169
FL
Other
Enumeration date
11/14/2007
Last updated
08/20/2024
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