Individual
DR. NATASHA ALEXIS LISIN-QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2500 DALLAS HWY SW, MARIETTA, GA 30064-2567
(407) 462-9828
Mailing address
230 CHICKERING LAKE DR, ROSWELL, GA 30075-3278
(314) 498-9006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22194
MA
122300000X
Dentist
Primary
DN014359
GA
Other
Enumeration date
06/27/2008
Last updated
01/05/2026
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