Individual
DR. LISA KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1740 E VENICE AVE UNIT 6, VENICE, FL 34292-3193
(941) 484-6400
(941) 488-6460
Mailing address
1740 E VENICE AVE UNIT 6, VENICE, FL 34292-3193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16760
FL
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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