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1548310329
LISA DEANGELIS
TUCKER, GA
NPI
1548310329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 11096)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- LISA DEANGELIS
1390 MONTREAL RD
TUCKER, GA 30084-8143
Phone number: 770-934-9700
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Mailing Address
-- LISA DEANGELIS
1390 MONTREAL RD
TUCKER, GA 30084-8143
Phone number:
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