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Individual

DR. LISA SHILMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
12010 ETRIS RD, SUITE A100, ROSWELL, GA 30076
(678) 736-5980
(678) 736-5987
Mailing address
12010 ETRIS RD, SUITE A100, ROSWELL, GA 30076
(678) 736-5980
(678) 736-5987

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02376200
NJ
122300000X
Dentist
DN014054
GA
1223P0221X
Pediatric Dentistry
Primary
DN014054
GA

Other

Enumeration date
10/19/2008
Last updated
06/28/2021
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