Lissy John, DDS

NPI #1235493370 in Galveston, Texas

Provider Information

NPI Number: 1235493370
Entity Type: Individual
Name: Lissy John, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 3, 2012
Last Updated: Oct 22, 2014

Practice Location

Address: 1801 BROADWAY ST
City: Galveston
State: Texas
ZIP Code: 77550
Phone: (409) 762-8443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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