Marcelle Desronvil-Lissade, DMD

NPI #1538206537 in Selma, North Carolina

Provider Information

NPI Number: 1538206537
Entity Type: Individual
Name: Marcelle Desronvil-Lissade, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 30, 2007
Last Updated: May 22, 2024

Practice Location

Address: 1111 S POLLOCK ST
City: Selma
State: North Carolina
ZIP Code: 27576-2933
Phone: (919) 965-2552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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