Lyly Fisher DDS Pllc
NPI #1174674915 in Renton, Washington
Provider Information
- NPI Number
- 1174674915
- Entity Type
- Organization
- Organization Name
- Lyly Fisher DDS Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 406 BURNETT AVE S
- City
- Renton
- State
- Washington
- ZIP Code
- 98057-2551
- Phone
- (425) 271-5705
Authorized Official
- Name
- DR. LYLY FISHER, DDS
- Title
- OWNER, DENTIST
- Phone
- (425) 271-5705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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