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Individual

DR. ALLISE M. CALLOWAY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4919 FLAT SHOALS PKWY, SUITE 210, DECATUR, GA 30034-5258
(678) 418-3000
(678) 689-0371
Mailing address
4919 FLAT SHOALS PKWY, SUITE 210, DECATUR, GA 30034-5258
(678) 418-3000
(678) 689-0371

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
012709
GA

Other

Enumeration date
01/06/2006
Last updated
07/08/2007
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