| Lyly Fisher Dds Pllc | |
|
406 Burnett Ave S Renton WA 98057-2551 | |
| (425) 271-5705 | |
| (425) 271-0165 |
| Full Name | Lyly Fisher Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 406 Burnett Ave S, Renton, Washington |
| Authorized Official Name and Position | Lyly Fisher (OWNER, DENTIST) |
| Authorized Official Contact | 4252715705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyly Fisher Dds Pllc 406 Burnett Ave S Renton WA 98057-2551 Ph: (425) 271-5705 | Lyly Fisher Dds Pllc 406 Burnett Ave S Renton WA 98057-2551 Ph: (425) 271-5705 |
| NPI Number | 1174674915 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174674915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7067 (Washington) | Primary |
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