LARRY ALAN BACON

KINGSPORT, TN
NPI1295736304
Other NameL ALAN BACON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TN  DS2171)
Enumeration Date2005-08-10
Last Update Date2012-03-01
Business Address
Dr. LARRY ALAN BACON DDS
117 W SEVIER AVE SUITE 220
KINGSPORT, TN 37660-3799
Phone number: 423-224-3200
Mailing Address
Dr. LARRY ALAN BACON DDS
117 W SEVIER AVE SUITE 220
KINGSPORT, TN 37660-3799
Phone number: 423-224-3200