Lisbon Dentistry PC

NPI #1154801090 in Lisbon, North Dakota

Provider Information

NPI Number: 1154801090
Entity Type: Organization
Organization Name: Lisbon Dentistry PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 420 MAIN ST
City: Lisbon
State: North Dakota
ZIP Code: 58054-4142
Phone: (701) 683-7695

Authorized Official

Name: JENNIFER MARIE LOURENS
Title: OFFICE MANAGER
Phone: (701) 683-7695

Specialties & Taxonomy Codes

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

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