Individual
DR. LISA DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
303 S BROAD ST, MONROE, GA 30655-2119
(770) 501-6401
Mailing address
4009 HIDDEN HAVEN CT, AUGUSTA, GA 30909-0319
(678) 789-6778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123521
GA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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