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Organization
MARK MEREDITH, DDS, INC
Active
Organization
MARK MEREDITH, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M MEREDITH DDS (DENTIST/OWNER)
(318) 649-6161
Entity
Organization
Contact information
Practice address
8079 US HWY 165, COLUMBIA, LA 71418
(318) 649-6161
(318) 649-6144
Mailing address
PO BOX 360, COLUMBIA, LA 71418-0360
(318) 649-6161
(318) 649-6144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3006
LA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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