| 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 |