Individual
LISA LIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19 WILLS WAY, PISCATAWAY, NJ 08854-3770
(732) 733-2166
(732) 733-4012
Mailing address
19 WILLS WAY, PISCATAWAY, NJ 08854-3770
(732) 733-2166
(732) 733-4012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
060110
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02697300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060110
NEW YORK STATE DENTAL LICENSE
NY
01
—
22DI02697300
NEW JERSEY DENTAL LICENSE
NJ
Enumeration date
03/03/2016
Last updated
12/17/2024
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