Individual
DR. NATASHA ALEXIS LISIN-QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
592 MEDICAL PARK DR STE B, GAINESVILLE, GA 30501-2055
(678) 498-1441
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
122300000X
Dentist
DN31461
FL
Other
Enumeration date
06/27/2008
Last updated
06/09/2026
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