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1093008005
SCOTT MARTIN HANNAMAN
LAKE CHARLES, LA
NPI
1093008005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 6155)
Enumeration Date
2011-05-24
Last Update Date
2011-05-24
Business Address
Dr. SCOTT MARTIN HANNAMAN D.D.S.
1540 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5324
Phone number: 225-571-9137
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Mailing Address
Dr. SCOTT MARTIN HANNAMAN D.D.S.
1540 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5324
Phone number: 225-571-9137
Copy
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LAKE AREA DENTISTRY, LLC