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Kacey F Guillory, DDS

Dentist in Kenner, LA. Individual provider (NPI-1).

NPI number1962065367
StatusActive
Last updated in NPPESJun 3, 2019

Details

NPI
1962065367
Entity type
Individual (NPI-1)
Name
Kacey F Guillory
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 21, 2019
Last updated
Jun 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6959LAYes

Practice location

2240 Veterans Memorial Blvd
Kenner, LA 70062-5673

Phone 504-666-9358

Mailing address

140 Francois Dr
Lafayette, LA 70507-9735

Phone 337-412-8996

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