Individual provider · Type 1 NPI

Gary S. Tisch, DDS

General Practice Dentistry · Shaker Heights, OH

NPI number 1316223670 Active

About NPI 1316223670

Gary S. Tisch, DDS's National Provider Identifier is 1316223670, issued on Oct 31, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shaker Heights, OH. The record was last updated on Oct 31, 2011.