Individual
DR. ALISA JEANNETTE RAGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1211 TUCKAWANNA DR SW, ATLANTA, GA 30311-3121
(404) 472-0233
(404) 472-0235
Mailing address
1211 TUCKAWANNA DR SW, ATLANTA, GA 30311-3121
(404) 472-0233
(404) 472-0235
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011906
GA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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