LOUISIANA ORAL & IMPLANT SURGERY

LAKE CHARLES, LA
NPI1932759271
Doing Business AsLOUISIANA ORAL AND IMPLANT SURGERY
Entity TypeOrganization
Authorized ContactNICKOLAS MASKAS
Oral And Maxillofacial Surgeon/Owne
337-888-4771
Organization Subpart ?No
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date2019-09-18
Last Update Date2019-12-23
Business Address
LOUISIANA ORAL & IMPLANT SURGERY
4720 LAKE STREET
LAKE CHARLES, LA 70605
Phone number: 337-888-4771
Mailing Address
LOUISIANA ORAL & IMPLANT SURGERY
4720 LAKE STREET
LAKE CHARLES, LA 70605
Phone number: 337-888-4771