Organization
DR. TOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LAGREE DDS (OWNER)
(716) 200-7131
Entity
Organization
Contact information
Practice address
5431 OLD HIGHWAY 5 STE 206, HOLLY SPRINGS, GA 30188
(470) 785-3138
Mailing address
5431 OLD HIGHWAY 5 STE 206, HOLLY SPRINGS, GA 30188
(470) 785-3138
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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