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1235343054
JEFFREY BERT LISSAUER
BOYNTON BEACH, FL
NPI
1235343054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 7899)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- JEFFREY BERT LISSAUER D.M.D.
3399 W WOOLBRIGHT RD
BOYNTON BEACH, FL 33436-7245
Phone number: 561-733-4004
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Mailing Address
-- JEFFREY BERT LISSAUER D.M.D.
3399 WOOLBRIGHT ROAD
BOYNTON BEACH, FL 33436-7245
Phone number: 561-733-4004
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