DR. Brian David Lackey, D.D.S.
NPI #1649326703 in Pacific Grove, California
Provider Information
- NPI Number
- 1649326703
- Entity Type
- Individual
- Name
- DR. Brian David Lackey, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 675 PINE AVE
- City
- Pacific Grove
- State
- California
- ZIP Code
- 93950-3373
- Phone
- (831) 649-1055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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