Individual
DR. LISA TONI DAVIS KULP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4517 N 32ND ST, PHOENIX, AZ 85018-3339
(480) 924-3062
Mailing address
3028 E NORTHRIDGE ST, MESA, AZ 85213-1631
(480) 924-3062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2904
AZ
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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