Individual
DR. CARLA A LISSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2628 MATLOCK RD, ARLINGTON, TX 76015-2525
(817) 468-3077
Mailing address
5001 CASSIDY LN, FORT WORTH, TX 76244-9172
(813) 389-0356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33525
TX
Other
Enumeration date
02/11/2013
Last updated
03/07/2019
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