DEREKA MCKISSACK MCKISSACK

STONE MOUNTAIN, GA
NPI1124469705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2013-07-11
Last Update Date2013-07-11
Business Address
Ms. DEREKA MCKISSACK MCKISSACK
374 N DESHON RD STE D
STONE MOUNTAIN, GA 30087-4827
Phone number: 770-469-4192
Mailing Address
Ms. DEREKA MCKISSACK MCKISSACK
374 N DESHON RD STE D
STONE MOUNTAIN, GA 30087-4827
Phone number: 770-469-4192