| Lisa A Block, Dmd, Ms, Pc | |
|
3519 56th St Nw Suite 140 Gig Harbor WA 98335-8593 | |
| (253) 858-8581 | |
| (253) 858-2189 |
| Full Name | Lisa A Block, Dmd, Ms, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3519 56th St Nw, Gig Harbor, Washington |
| Authorized Official Name and Position | Lisa A Block (PRESIDENT) |
| Authorized Official Contact | 2538588581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Block, Dmd, Ms, Pc 3519 56th St Nw Suite 140 Gig Harbor WA 98335-8593 Ph: (253) 858-8581 | Lisa A Block, Dmd, Ms, Pc 3519 56th St Nw Suite 140 Gig Harbor WA 98335-8593 Ph: (253) 858-8581 |
| NPI Number | 1114173077 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114173077 | NPI | - | NPPES |
| 5013925 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6846 (Washington) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 6692 (Washington) | Primary |
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