Dr. Tom LLC

NPI #1881224897 in Holly Springs, Georgia

Provider Information

NPI Number
1881224897
Entity Type
Organization
Organization Name
Dr. Tom LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 17, 2020
Last Updated
Jan 17, 2020

Practice Location

Address
5431 OLD HIGHWAY 5 STE 206
State
Georgia
ZIP Code
30188
Phone
(470) 785-3138

Authorized Official

Name
DR. THOMAS LAGREE, DDS
Title
OWNER
Phone
(716) 200-7131

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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