Individual
KACEY F GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2240 VETERANS MEMORIAL BLVD, KENNER, LA 70062-5673
(504) 666-9358
Mailing address
140 FRANCOIS DR, LAFAYETTE, LA 70507-9735
(337) 412-8996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6959
LA
Other
Enumeration date
04/21/2019
Last updated
06/03/2019
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