Eric Lafayette D.m.d LLC
NPI #1508612300 in Jacksonville, Alabama
Provider Information
- NPI Number
- 1508612300
- Entity Type
- Organization
- Organization Name
- Eric Lafayette D.m.d LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 24, 2024
- Last Updated
- Apr 24, 2024
Practice Location
- Address
- 703 PELHAM RD S
- City
- Jacksonville
- State
- Alabama
- ZIP Code
- 36265-2733
- Phone
- (256) 435-6193
Authorized Official
- Name
- ERIC HUDSON LAFAYETTE, D.M.D
- Title
- OWNER
- Phone
- (256) 435-6193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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