Individual provider · Type 1 NPI

Peter Lubisich, DDS

Pediatric Dentistry · Vancouver, WA

NPI number 1396756029 Active

Practice location

300 SE 120th Ave Ste 100
Vancouver, WA 98683-4067

Call (360) 256-1755 Map

Fax (360) 882-8080

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4438 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1396756029

Peter Lubisich, DDS's National Provider Identifier is 1396756029, issued on Aug 10, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.