LISELOTTE ALICE MANNION-BLACK

KENNEWICK, WA
NPI1871691600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00007313)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Mrs. LISELOTTE ALICE MANNION-BLACK DDS
8400 W GAGE BLVD
KENNEWICK, WA 99336-1075
Phone number: 509-735-9548
Mailing Address
Mrs. LISELOTTE ALICE MANNION-BLACK DDS
8400 W GAGE BLVD
KENNEWICK, WA 99336-1075
Phone number: 509-735-9548