Itaya, Lisa

Itaya, Lisa is an individual health care provider with primary practice located at 155 5Th St , San Francisco CA 94103-2919. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Itaya, Lisa can be contacted via phone (415) 749-3319.

Contact Information

Primary practice address
155 5Th St San Francisco CA 94103-2919
Phone: (415) 749-3319
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 45710 California

Profile Details

NPI number 1538164314
LBN Legal business name Itaya, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 17th, 2014 - about 11 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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