| Lisa Irish Deese, DMD | |
|
1100 F Ave, Douglas, AZ 85607-1919 | |
| (520) 364-3285 | |
| (520) 364-3378 |
| Full Name | Lisa Irish Deese |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1100 F Ave, Douglas, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639498595 | NPI | - | NPPES |
| 192919 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D009122 (Arizona) | Primary |
| 1223G0001X | Dentist - General Practice | DN19100 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Irish Deese, DMD 1100 F Ave, Douglas, AZ 85607-1919 Ph: (520) 364-3285 | Lisa Irish Deese, DMD 1100 F Ave, Douglas, AZ 85607-1919 Ph: (520) 364-3285 |
Christopher Rogowski, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 | |
Dr. Kristine L. Gomez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 720 E 11th St, Douglas, AZ 85607 Phone: 520-364-9718 Fax: 520-805-9391 | |
Mario Fragoso, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-1429 Fax: 520-364-4261 | |
Mauricio G. Larios, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 E 8th St, Douglas, AZ 85607 Phone: 619-831-0437 Fax: 619-785-3404 |