MASON COPELAND LILES

MANGHAM, LA
NPI1477127488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7199)
Enumeration Date2021-05-14
Last Update Date2021-05-14
Business Address
Dr. MASON COPELAND LILES DDS
4279 HIGHWAY 15
MANGHAM, LA 71259-5189
Phone number: 318-248-4986
Mailing Address
Dr. MASON COPELAND LILES DDS
201 MEDALIST RD
MONROE, LA 71203-8150
Phone number: 318-614-5251