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1467557199
TODD L LACKEY
HUNTSVILLE, AL
NPI
1467557199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: AL 4855)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- TODD L LACKEY d.d.s.
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801-6403
Phone number: 256-539-7447
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Mailing Address
-- TODD L LACKEY d.d.s.
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801-6403
Phone number: 256-539-7447
Copy
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