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Organization
ERIC LAFAYETTE D.M.D LLC
Active
Organization
ERIC LAFAYETTE D.M.D LLC
Active
Other names
ERIC LAFAYETTE D.M.D LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HUDSON LAFAYETTE D.M.D (OWNER)
(256) 435-6193
Entity
Organization
Contact information
Practice address
703 PELHAM RD S, JACKSONVILLE, AL 36265-2733
(256) 435-6193
Mailing address
703 PELHAM RD S, JACKSONVILLE, AL 36265-2733
(256) 435-6193
(256) 435-7735
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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