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1477127488
MASON COPELAND LILES
MANGHAM, LA
NPI
1477127488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 7199)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
Dr. MASON COPELAND LILES DDS
4279 HIGHWAY 15
MANGHAM, LA 71259-5189
Phone number: 318-248-4986
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Mailing Address
Dr. MASON COPELAND LILES DDS
201 MEDALIST RD
MONROE, LA 71203-8150
Phone number: 318-614-5251
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