Laura K. Kincannon, Dds, Pllc

NPI #1801265566 in West Columbia, Texas

Provider Information

NPI Number: 1801265566
Entity Type: Organization
Organization Name: Laura K. Kincannon, Dds, Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 907 S COLUMBIA DR
City: West Columbia
State: Texas
ZIP Code: 77486-3637
Phone: (979) 345-1451

Authorized Official

Name: LAURA KATHERINE KINCANNON, DDS
Title: OWNER
Phone: (979) 345-1451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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