| NPI | 1114492584 |
|---|---|
| Doing Business As | LAKE CHARLES FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALEX CHAUMONT Manager 337-477-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |