Individual
DR. LASHANDIA RENAE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
(DDS)
Contact information
Practice address
2440 FAIRBURN RD SW, SUITE 301, ATLANTA, GA 30331-5256
(404) 349-7777
(404) 349-8459
Mailing address
2440 FAIRBURN RD SW, SUITE 301, ATLANTA, GA 30331-5256
(404) 349-7777
(404) 349-8459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134434378E
—
GA
Enumeration date
02/10/2010
Last updated
08/08/2013
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