Individual
DR. STUART A LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
20 EAST ST, HANOVER, MA 02339
(781) 826-2826
(781) 826-0636
Mailing address
20 EAST ST, HANOVER, MA 02339-1638
(781) 826-2826
(781) 826-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA16518
MA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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