Lisa Anne Vershay, RDH

NPI #1164676458 in Twain Harte, California

Provider Information

NPI Number: 1164676458
Entity Type: Individual
Name: Lisa Anne Vershay, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 13, 2008
Last Updated: Nov 13, 2008

Practice Location

Address: 22629 TWAIN HARTE DR
City: Twain Harte
State: California
ZIP Code: 95383-9405
Phone: (209) 586-2772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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