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1720244668
DAVID LEE EZERNACK
MONROE, LA
NPI
1720244668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 2708)
Enumeration Date
2008-07-30
Last Update Date
2008-07-30
Business Address
Dr. DAVID LEE EZERNACK D.D.S.
2109 REDWOOD DR
MONROE, LA 71201-3629
Phone number: 318-325-7648
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Mailing Address
Dr. DAVID LEE EZERNACK D.D.S.
2109 REDWOOD DR
MONROE, LA 71201-3629
Phone number: 318-325-7648
Copy
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