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1023138849
RONALD MICHAEL SHORT
LAKE CHARLES, LA
NPI
1023138849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 2380)
Enumeration Date
2007-03-29
Last Update Date
2007-07-09
Business Address
Dr. RONALD MICHAEL SHORT DDS
1702 OAK PARK BLVD
LAKE CHARLES, LA 70601-8912
Phone number: 337-310-1800
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Mailing Address
Dr. RONALD MICHAEL SHORT DDS
630 W PRIEN LAKE RD SUITE B223
LAKE CHARLES, LA 70601-0700
Phone number: 337-310-1800
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