Lisa Jane Tatum, DDS

NPI #1215026661 in Waynesboro, Virginia

Provider Information

NPI Number
1215026661
Entity Type
Individual
Name
Lisa Jane Tatum, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Oct 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
29 STONERIDGE DR
Address 2
SUITE 103
ZIP Code
22980-6598
Phone
(540) 943-0973

Specialties & Taxonomy Codes

Specialty
Dentist

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