Individual
LINDSAY BROOKE PISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
805 NJ-38, CHERRY HILL, NJ 08002
(856) 281-7600
Mailing address
1000 S BROAD ST APT 734, PHILADELPHIA, PA 19146-2258
(407) 616-7636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045069
PA
1223P0221X
Pediatric Dentistry
DS045069
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2023
Last updated
05/07/2025
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