Individual
DR. LISA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
601 W PIERCE ST, CARLSBAD, NM 88220-5240
(505) 628-8404
(505) 628-8519
Mailing address
601 W PIERCE ST, CARLSBAD, NM 88220-5240
(505) 628-8404
(505) 628-8519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2415
NM
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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