MARK WAYNE MILAM

LAFAYETTE, LA
NPI1306049333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  4035)
Enumeration Date2007-06-07
Last Update Date2007-07-08
Business Address
Dr. MARK WAYNE MILAM D.D.S.
104 EXCHANGE PL
LAFAYETTE, LA 70503-2571
Phone number: 337-237-5197
Mailing Address
Dr. MARK WAYNE MILAM D.D.S.
104 EXCHANGE PL
LAFAYETTE, LA 70503
Phone number: 337-237-5197