| Lisa M Gitelson Dmd Pc | |
|
4734 River Rd N Keizer OR 97303-4536 | |
| (503) 463-4663 | |
| (503) 463-4666 |
| Full Name | Lisa M Gitelson Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4734 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Lisa M Gitelson (DOCTOR OWNER) |
| Authorized Official Contact | 5034634663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Gitelson Dmd Pc 4734 River Rd N Keizer OR 97303-4536 Ph: (503) 463-4663 | Lisa M Gitelson Dmd Pc 4734 River Rd N Keizer OR 97303-4536 Ph: (503) 463-4663 |
| NPI Number | 1841283421 |
|---|---|
| Provider Enumeration Date | 08/29/2005 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841283421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7623 (Oregon) | Primary |
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