DR. Lisiana Rusli, DDS
NPI #1316043920 in La Puente, California
Provider Information
- NPI Number
- 1316043920
- Entity Type
- Individual
- Name
- DR. Lisiana Rusli, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1240 N HACIENDA BLVD STE 103
- City
- La Puente
- State
- California
- ZIP Code
- 91744-1663
- Phone
- (626) 931-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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