Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10625 NE 68TH ST, KIRKLAND, WA 98033-7054
(425) 822-2241
(425) 827-5892
Mailing address
10625 NE 68TH ST, KIRKLAND, WA 98033-7054
(425) 822-2241
(425) 827-5892
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60010814
WA
183700000X
Pharmacy Technician
VA00049715
WA
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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