Lagrange Family Dental Center

NPI #1487807434 in Lagrange, Georgia

Provider Information

NPI Number: 1487807434
Entity Type: Organization
Organization Name: Lagrange Family Dental Center
Primary Specialty: Dentist
Enumeration Date: Nov 3, 2008
Last Updated: Dec 28, 2011

Practice Location

Address: 606 S GREENWOOD ST
City: Lagrange
State: Georgia
ZIP Code: 30240-3128
Phone: (706) 882-5551

Authorized Official

Name: MR. GEORGE W BAKER JR., D.M.D
Title: OWNER
Phone: (706) 882-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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