Individual
MS. LISA J. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 SMYTH RD., VA MEDICAL CENTER DENTAL SERVICE 160, MANCHESTER, NH 03104
(603) 624-4366
Mailing address
718 SMYTH RD., VA MEDICAL CENTER DENTAL SERVICE 160, MANCHESTER, NH 03104
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
01619
NH
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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