DR. Anisa Lee Hailey, DMD

NPI #1033310115 in Suwanee, Georgia

Provider Information

NPI Number
1033310115
Entity Type
Individual
Name
DR. Anisa Lee Hailey, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
May 29, 2007
Last Updated
Dec 31, 2008

Practice Location

Address
4055 JOHNS CREEK PKWY
Address 2
SUITE B
State
Georgia
ZIP Code
30024-1299
Phone
(678) 436-1300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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