Walton Family Dentistry LLC

NPI #1851934160 in Monroe, Georgia

Provider Information

NPI Number: 1851934160
Entity Type: Organization
Organization Name: Walton Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Oct 21, 2019
Last Updated: Oct 21, 2019

Practice Location

Address: 862 MICHAEL ETCHISON RD
City: Monroe
State: Georgia
ZIP Code: 30655-8204
Phone: (770) 267-2301

Authorized Official

Name: KEVIN M LACOUR, DDS
Title: OWNER
Phone: (770) 367-5191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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