Organization
LISA K. FROST DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA K FROST DDS (OWNER DENTIST)
(740) 947-8200
Entity
Organization
Contact information
Practice address
100 E 3RD ST, WAVERLY, OH 45690-1401
(740) 947-8200
(740) 947-8210
Mailing address
100 E 3RD ST, WAVERLY, OH 45690-1401
(740) 947-8200
(740) 947-8210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21364
OH
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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