Individual
GARY D LACOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
603 WEBSTER, CORINTH, MS 38834
(662) 286-5991
Mailing address
603 WEBSTER, CORINTH, MS 38834
(662) 286-5991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
287795
MS
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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