NPI | 1568013555 |
---|---|
Doing Business As | LACOUR FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KEVIN M LACOUR Owner 770-921-6606 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |