Individual
LISA PYUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10203 TANAGER LN STE 101, COLUMBIA, MD 21044-4171
(443) 896-0002
(443) 896-0012
Mailing address
10203 TANAGER LN STE 101, COLUMBIA, MD 21044-4171
(443) 896-0002
(443) 896-0012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16082
MD
Other
Enumeration date
06/08/2016
Last updated
08/03/2022
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