Gortari, Lisa Marie

Gortari, Lisa Marie is an sole proprietor health care provider with primary practice located at 800 E Dove Ave Ste C, Mcallen TX 78504-2262. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is her primary health care specialty. Gortari, Lisa Marie can be contacted via phone (909) 229-3134.

Contact Information

Primary practice address
800 E Dove Ave Ste C Mcallen TX 78504-2262
Phone: (909) 229-3134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 59423 California
Dental Providers / Dentist 122300000X 27675 Texas
Dental Providers / Dentist Anesthesiologist 1223D0004X 27675 Texas
Dental Providers / Dentist Anesthesiologist 1223D0004X 59423 California
Dental Providers / Dentist 122300000X D008600 Arizona
Dental Providers / Dentist Anesthesiologist 1223D0004X D008600 Arizona

Profile Details

NPI number 1730497249
LBN Legal business name Gortari, Lisa Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2010
Last updated Jan 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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