Individual
DR. LYDIA AZEALA MONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3960 CALOMEL DR, CUMMING, GA 30040-8786
(912) 401-5276
Mailing address
3960 CALOMEL DR, CUMMING, GA 30040-8786
(912) 401-5276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12888
MD
Other
Enumeration date
01/13/2006
Last updated
12/28/2012
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