Individual
LILIANA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1550 ROCK QUARRY RD, SUITE A, STOCKBRIDGE, GA 30281-6326
(770) 389-8797
(770) 389-0808
Mailing address
1550 ROCK QUARRY RD, SUITE A, STOCKBRIDGE, GA 30281-6326
(770) 389-8797
(770) 389-0808
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN010642
GA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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