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1306049333
MARK WAYNE MILAM
LAFAYETTE, LA
NPI
1306049333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4035)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
Dr. MARK WAYNE MILAM D.D.S.
104 EXCHANGE PL
LAFAYETTE, LA 70503-2571
Phone number: 337-237-5197
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Mailing Address
Dr. MARK WAYNE MILAM D.D.S.
104 EXCHANGE PL
LAFAYETTE, LA 70503
Phone number: 337-237-5197
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