JUDGE LISA MARIA DDS PC NPI 1811040728

NPI Information

JUDGE, LISA MARIA DDS PC is a general practice dentist in Marietta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JUDGE, LISA MARIA DDS PC NPI is 1811040728. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1230 POWERS FERRY RD SE
SUITE #6
MARIETTA, GA
ZIP 30067-495
Phone: (770) 541-0101
Fax: (770) 541-0102

The provider's authorized official is Lisa M Judge .
The authorized official title is Doctor Owner and has the following contact phone number (770) 541-0101.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 6/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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