Individual
DR. CANDACE LATHAM LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6783 VETERANS PKWY, BUILDING 4, COLUMBUS, GA 31909-3254
(706) 321-3909
Mailing address
6783 VETERANS PKWY, BUILDING 4, COLUMBUS, GA 31909-3254
(706) 321-3909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6174C1
AL
122300000X
Dentist
Primary
DN013892
GA
Other
Enumeration date
06/05/2009
Last updated
05/13/2015
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