Lisa Kakishita Dmd LLC

NPI #1114204914 in Portland, Oregon

Provider Information

NPI Number: 1114204914
Entity Type: Organization
Organization Name: Lisa Kakishita Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 8, 2011
Last Updated: Jan 13, 2012

Practice Location

Address: 833 SW 11TH AVE
Address 2: #414
City: Portland
State: Oregon
ZIP Code: 97205-2125
Phone: (503) 221-9439

Authorized Official

Name: DR. LISA MARNET KAKISHITA, DMD
Title: MANAGER
Phone: (503) 577-4429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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