LISA DEANGELIS

TUCKER, GA
NPI1548310329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  11096)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- LISA DEANGELIS
1390 MONTREAL RD
TUCKER, GA 30084-8143
Phone number: 770-934-9700
Mailing Address
-- LISA DEANGELIS
1390 MONTREAL RD
TUCKER, GA 30084-8143
Phone number: