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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