LISA ANN WAGNER

ALPHARETTA, GA
NPI1982776712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  DN010372)
Enumeration Date2006-11-15
Last Update Date2016-09-20
Business Address
-- LISA ANN WAGNER DMD
1130 SANCTUARY PKWY
ALPHARETTA, GA 30009-4839
Phone number: 770-641-5168
Mailing Address
-- LISA ANN WAGNER DMD
425 PARIS DRIVE
LAWRENCEVILLE, GA 30043-6144
Phone number: 770-399-1582
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