Individual
DR. LUCAS BLAINE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3625 BRASELTON HWY STE 101, DACULA, GA 30019-4696
(770) 614-9467
Mailing address
1265 WHISPER COVE DR, BUFORD, GA 30518-7243
(563) 260-1994
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN016015
GA
Other
Enumeration date
11/27/2017
Last updated
07/23/2020
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