NATASHA ALEXIS LISIN-QUEEN

ACWORTH, GA
NPI1902068372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN014359)
Additional Taxonomies122300000X Dentist
(Licence: MA  22194)
Enumeration Date2008-06-27
Last Update Date2015-11-23
Business Address
Dr. NATASHA ALEXIS LISIN-QUEEN DMD
3950 COBB PKWY NW SUITE 402
ACWORTH, GA 30101-9532
Phone number: 770-966-9396
Mailing Address
Dr. NATASHA ALEXIS LISIN-QUEEN DMD
230 CHICKERING LAKE DR
ROSWELL, GA 30075-3278
Phone number: 314-498-9006