DR. Lyly Fisher, DDS

NPI #1134218274 in Renton, Washington

Provider Information

NPI Number: 1134218274
Entity Type: Individual
Name: DR. Lyly Fisher, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 406 BURNETT AVE S
City: Renton
State: Washington
ZIP Code: 98057-2551
Phone: (425) 271-5705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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