Individual
DR. LISA S KISPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18803 SW BOONES FERRY RD STE 5, TUALATIN, OR 97062-8412
(036) 923-7475
(503) 612-6948
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 409-4614
(774) 409-4614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9222
OR
122300000X
Dentist
DE00011251
WA
1223P0221X
Pediatric Dentistry
Primary
D9222
OR
Other
Enumeration date
07/23/2007
Last updated
02/26/2025
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