Individual
LISA Y WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2713 MARIETTA HWY, SUITE 111, DALLAS, GA 30157-9470
(770) 505-0800
(770) 505-5199
Mailing address
2713 MARIETTA HWY, SUITE 111, DALLAS, GA 30157-9470
(770) 505-0800
(770) 505-5199
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11183
GA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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