MRS. Liselotte Alice Mannion-Black, DDS
NPI #1871691600 in Kennewick, Washington
Provider Information
- NPI Number
- 1871691600
- Entity Type
- Individual
- Name
- MRS. Liselotte Alice Mannion-Black, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8400 W GAGE BLVD
- City
- Kennewick
- State
- Washington
- ZIP Code
- 99336-1075
- Phone
- (509) 735-9548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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