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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