DR. Gary James Lacaze, DDS

NPI #1205931011 in Kingman, Arizona

Provider Information

NPI Number: 1205931011
Entity Type: Individual
Name: DR. Gary James Lacaze, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1616 STOCKTON HILL RD
City: Kingman
State: Arizona
ZIP Code: 86401
Phone: (928) 753-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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