Individual
DR. LIDA PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3970 FIVE FORKS TRICKUM RD SW, SUITE B, LILBURN, GA 30047-2339
(770) 921-8442
Mailing address
2400 PARKLAND DR NE, UNIT 118, ATLANTA, GA 30324-3589
(678) 641-7989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014786
GA
Other
Enumeration date
07/20/2014
Last updated
07/20/2014
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