NPI 1003099375

Alisa Jeannette Raglin, DDS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Atlanta, GA

Practice location

Address: 1211 Tuckawanna Dr SW, Atlanta, GA 30311-3121
Phone: (404) 472-0233
Fax: (404) 472-0235

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 011906 (GA)

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Registry record

NPI: 1003099375
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2007
Record last updated: 10 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.