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Organization
LACOUR FAMILY DENTISTRY EAST LLC
Active
Organization
LACOUR FAMILY DENTISTRY EAST LLC
Active
Other names
Athens Dental Design
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LACOUR DDS (DENTIST/OWNER)
(678) 654-7454
Entity
Organization
Contact information
Practice address
175 HAWTHORNE PARK, ATHENS, GA 30606-2150
(706) 353-7860
Mailing address
175 HAWTHORNE PARK, ATHENS, GA 30606-2150
(706) 353-7860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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