| NPI | 1972667137 |
|---|---|
| Professional Name | LISA R. DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418621) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 6890) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-06-06 |