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Organization
DANIEL M. PERRY, D.D.S., L.L.C.
Active
Organization
DANIEL M. PERRY, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MARK PERRY D.D.S. (OWNER)
(337) 478-0812
Entity
Organization
Contact information
Practice address
4301 LAKE ST, LAKE CHARLES, LA 70605-4309
(337) 478-0812
(337) 478-0893
Mailing address
4301 LAKE ST, LAKE CHARLES, LA 70605-4309
(337) 478-0812
(337) 478-0893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA 5652
LA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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