DR. Christine A Liesen, DDS

NPI #1104964998 in Woodruff, Wisconsin

Provider Information

NPI Number: 1104964998
Entity Type: Individual
Name: DR. Christine A Liesen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1105 4TH AVE
City: Woodruff
State: Wisconsin
ZIP Code: 54568
Phone: (715) 356-3474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Christine Liesen John J Pinzl DDS Sc	Dentist	Woodruff	AI Deep Dive

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