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Lisa Y West, DMD
Pediatric Dentist in Dallas, Georgia
NPI 1528086634

Lisa Y West is a Pediatric Dentist based in Dallas, GA and is specialized in Pediatric Dentistry. Lisa Y West practices in Dallas, GA and has the professional credentials of DMD. The NPI Number for Lisa Y West is 1528086634 and holds a License No. 11183 (Georgia).

The current practice location address for Lisa Y West is 2713 Marietta Hwy, Dallas, GA and can be reached out via phone at 770-505-0800 and via fax at 770-505-5199.

Location: 2713 Marietta Hwy, Dallas, GA, 30157-9470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528086634
Provider Name
Lisa Y West
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2713 Marietta Hwy, Dallas, GA, 30157-9470
Phone Number
770-505-0800
Fax Number
770-505-5199
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2713 Marietta Hwy
City
Dallas
State
Georgia
Zip
30157-9470
Phone Number
770-505-0800
Fax Number
770-505-5199
person
Provider Business Mailing Address Details
Address
2713 Marietta Hwy
City
Dallas
State
Georgia
Zip
30157-9470
Phone Number
770-505-0800
Fax Number
770-505-5199
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
11183 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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