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1528535960
LAKE AREA DENTISTRY- MOSS BLUFF
LAKE CHARLES, LA
NPI
1528535960
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Entity Type
Organization
Authorized Contact
JEFFERY A HENNIGAN
Owner
337-855-2742
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
LAKE AREA DENTISTRY- MOSS BLUFF
644 N HIGHWAY 171
LAKE CHARLES, LA 70611-5348
Phone number: 337-855-2742
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Mailing Address
LAKE AREA DENTISTRY- MOSS BLUFF
644 N HIGHWAY 171
LAKE CHARLES, LA 70611-5348
Phone number: 337-855-2742
Copy
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