NPI | 1417661554 |
---|---|
Doing Business As | LACOUR FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEREMY ROBERT SMITH Owner 770-921-6066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-01-12 |