Individual
LISA A BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S., P.C.
Contact information
Practice address
3519 56TH ST NW, SUITE 140, GIG HARBOR, WA 98335-8593
(253) 858-8581
(253) 858-2189
Mailing address
3519 56TH ST NW, SUITE 140, GIG HARBOR, WA 98335-8593
(253) 858-8581
(253) 858-2189
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5013925
—
WA
Enumeration date
06/03/2006
Last updated
07/09/2007
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