Organization
GARY LACOM DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D LACOM DDS (PRESIDENT DENTIST)
(662) 286-5991
Entity
Organization
Contact information
Practice address
603 WEBSTER, CORINTH, MS 38834
(662) 286-5991
Mailing address
603 WEBSTER, CORINTH, MS 38834
(662) 286-5991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
287795
MS
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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