DR. Lisa Anne Hogan, D.D.S.

NPI #1043318215 in Las Vegas, Nevada

Provider Information

NPI Number: 1043318215
Entity Type: Individual
Name: DR. Lisa Anne Hogan, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1621 E FLAMINGO RD
Address 2: SUITE 17-A
City: Las Vegas
State: Nevada
ZIP Code: 89119-5276
Phone: (702) 892-0390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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