DR. Lisa M Gitelson, DMD

NPI #1740473594 in Keizer, Oregon

Provider Information

NPI Number: 1740473594
Entity Type: Individual
Name: DR. Lisa M Gitelson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 24, 2007
Last Updated: Aug 24, 2007

Practice Location

Address: 4734 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4536
Phone: (503) 463-4663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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