Individual
DR. GREGORY A. LIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 E ELM ST, KENT, OH 44240-3822
(330) 673-0121
Mailing address
100 E ELM ST, KENT, OH 44240-3822
(330) 673-0121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016210
OH
Other
Enumeration date
01/22/2006
Last updated
07/08/2007
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