Lisa Marie Bezenek, HYGIENIST

NPI #1205968864 in Ketchikan, Alaska

Provider Information

NPI Number: 1205968864
Entity Type: Individual
Name: Lisa Marie Bezenek, HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: HYGIENIST
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2960 TONGASS AVE
Address 2: SUITE 403
City: Ketchikan
State: Alaska
ZIP Code: 99901-5742
Phone: (907) 228-4902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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