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Individual

DR. MARK M. MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2914 BETIN AVENUE, MONROE, LA 71201-7495
(318) 388-1250
(318) 388-0948
Mailing address
2914 BETIN AVENUE, MONROE, LA 71201-7495
(318) 388-1250
(318) 388-0948

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3006
LA

Other

Enumeration date
01/26/2007
Last updated
04/29/2015
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