| Lida Paez, Dmd, Llc | |
|
3640 Chamblee Tucker Rd Atlanta GA 30341-4418 | |
| (770) 938-0232 | |
| (770) 938-0681 |
| Full Name | Lida Paez, Dmd, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3640 Chamblee Tucker Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Lida Cristina Paez (OWNER) |
| Authorized Official Contact | 7709380232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lida Paez, Dmd, Llc 3640 Chamblee Tucker Rd Atlanta GA 30341-4418 Ph: (770) 938-0232 | Lida Paez, Dmd, Llc 3640 Chamblee Tucker Rd Atlanta GA 30341-4418 Ph: (770) 938-0232 |
| NPI Number | 1386170363 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386170363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN014786 (Georgia) | Primary |
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