Individual
MRS. LIZZETTE GARCIA EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3420 ACWORTH DUE WEST RD NW STE A, KENNESAW, GA 30144-2371
(770) 974-5293
(770) 974-7285
Mailing address
3420 ACWORTH DUE WEST RD NW STE A, KENNESAW, GA 30144-2371
(770) 974-5293
(770) 974-7285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010776
GA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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