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Contact Information

GARY J LACAZE, DDS
1616 STOCKTON HILL RD
KINGMAN, AZ86401
 Phone: 928-753-1141
 Fax: 928-753-5793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GARY J LACAZE · (Male)

NPI # 1205931011
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2866
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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