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1043706252
LAKE AREA DENTISTRY-CARLYSS
SULPHUR, LA
NPI
1043706252
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Entity Type
Organization
Authorized Contact
JEFFERY HENNIGAN
Owner
337-478-8470
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: LA LA-6269)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
LAKE AREA DENTISTRY-CARLYSS
4985 HIGHWAY 27 S
SULPHUR, LA 70665-7571
Phone number: 337-583-2756
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Mailing Address
LAKE AREA DENTISTRY-CARLYSS
4985 HIGHWAY 27 S
SULPHUR, LA 70665-7571
Phone number: 337-583-2756
Copy
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