Individual
MRS. LISELOTTE ALICE MANNION-BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8400 W GAGE BLVD, KENNEWICK, WA 99336-1075
(509) 735-9548
(509) 735-6876
Mailing address
8400 W GAGE BLVD, KENNEWICK, WA 99336-1075
(509) 735-9548
(509) 735-6876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007313
WA
Other
Enumeration date
09/20/2006
Last updated
03/23/2026
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