Jared Evan Lichstrahl, D.M.D.

NPI #1932219474 in Sunrise, Florida

Provider Information

NPI Number: 1932219474
Entity Type: Individual
Name: Jared Evan Lichstrahl, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.M.D.
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2500 N UNIVERSITY DR
Address 2: STE#12
City: Sunrise
State: Florida
ZIP Code: 33322-3003
Phone: (954) 741-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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