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1629189071
JOHN THOMAS LISAC
MUNSTER, IN
NPI
1629189071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN 12009410A)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. JOHN THOMAS LISAC D.D.S.
8231 CALUMET AVE
MUNSTER, IN 46321-1703
Phone number: 219-836-0888
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Mailing Address
Dr. JOHN THOMAS LISAC D.D.S.
8441 LANTERN VIEW LN
SAINT JOHN, IN 46373-9392
Phone number: 219-365-2968
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