Individual
DR. LISA KRISTINE CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25 BALA AVE, SUITE 105, BALA CYNWYD, PA 19004-3213
(610) 664-5644
Mailing address
25 BALA AVE, SUITE 105, BALA CYNWYD, PA 19004-3213
(610) 664-5644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026346L
PA
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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