LAKE AREA DENTISTRY- MOSS BLUFF

LAKE CHARLES, LA
NPI1528535960
Entity TypeOrganization
Authorized ContactJEFFERY A HENNIGAN
Owner
337-855-2742
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
LAKE AREA DENTISTRY- MOSS BLUFF
644 N HIGHWAY 171
LAKE CHARLES, LA 70611-5348
Phone number: 337-855-2742
Mailing Address
LAKE AREA DENTISTRY- MOSS BLUFF
644 N HIGHWAY 171
LAKE CHARLES, LA 70611-5348
Phone number: 337-855-2742
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