Organization
THOMAS AND LUCAS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W. THOMAS DDS (OWNER, PRESIDENT)
(912) 285-3140
Entity
Organization
Contact information
Practice address
1600 ALICE ST, WAYCROSS, GA 31501-4533
(912) 285-3140
(912) 285-0260
Mailing address
1600 ALICE ST, WAYCROSS, GA 31501-4533
(912) 285-3140
(912) 285-0260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN007259
GA
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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