Individual
DR. DEBRA O LISULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2411 OAK VALLEY DR, SUITE 600, ANN ARBOR, MI 48103-9131
(734) 761-1122
(734) 761-9664
Mailing address
2411 OAK VALLEY DR, SUITE 600, ANN ARBOR, MI 48103-9131
(734) 761-1122
(734) 761-9664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13481
MI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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