Organization
LIDA PAEZ, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDA CRISTINA PAEZ DMD (OWNER)
(770) 938-0232
Entity
Organization
Contact information
Practice address
3640 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4418
(770) 938-0232
(770) 938-0681
Mailing address
3640 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4418
(770) 938-0232
(770) 938-0681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014786
GA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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