Individual
LISA ISSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43637 CATAWBA DR, CLINTON TOWNSHIP, MI 48038-1307
(586) 404-3551
Mailing address
43637 CATAWBA DR, CLINTON TOWNSHIP, MI 48038-1307
(586) 404-3551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602603APP25
MI
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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