Individual
DEEMA RASLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 CHURCH ST, LAGRANGE, GA 30240-2700
(706) 884-3263
Mailing address
90 COURTYARD DR, NEWNAN, GA 30265-3163
(857) 770-8424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN016162T
GA
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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