Individual
DR. LISA TREXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
304 1ST ST W, DARIEN, GA 31305
(912) 437-6601
(912) 437-6666
Mailing address
PO BOX 950, DARIEN, GA 31305-0950
(912) 437-6601
(912) 437-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000298471B
—
GA
Enumeration date
02/11/2015
Last updated
02/11/2015
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