Lisa Irish Deese, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Douglas, AZ

NPI

1639498595

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D009122 (AZ)

Sex

Female

Sole proprietor

No

Enumerated

2010-05-18

Last updated

2017-05-01