Gary Lacom Dds Pa | |
603 Webster Corinth MS 38834 | |
(662) 286-5991 | |
Not Available |
Full Name | Gary Lacom Dds Pa |
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Speciality | Dentist - General Practice |
Location | 603 Webster, Corinth, Mississippi |
Authorized Official Name and Position | Gary D Lacom (PRESIDENT DENTIST) |
Authorized Official Contact | 6622865991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gary Lacom Dds Pa 603 Webster Corinth MS 38834 Ph: (662) 286-5991 | Gary Lacom Dds Pa 603 Webster Corinth MS 38834 Ph: (662) 286-5991 |
NPI Number | 1952522237 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1952522237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 287795 (Mississippi) | Primary |
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