| Kacey Guillory Dds Professional Dental Llc | |
|
3411 Nelson Rd Ste 100 Lake Charles LA 70605-1240 | |
| (337) 602-9733 | |
| Not Available |
| Full Name | Kacey Guillory Dds Professional Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3411 Nelson Rd Ste 100, Lake Charles, Louisiana |
| Authorized Official Name and Position | Kacey Guillory (OWNER) |
| Authorized Official Contact | 3376029733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kacey Guillory Dds Professional Dental Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Kacey Guillory Dds Professional Dental Llc 3411 Nelson Rd Ste 100 Lake Charles LA 70605-1240 Ph: (337) 602-9733 |
| NPI Number | 1447977087 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447977087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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