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Organization

MARLON HANLEY, DDS, A PROFESSIONAL DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLON HANLEY DDS (PRACTICE OWNER)
(985) 868-9343
Entity
Organization

Contact information

Practice address
1539 MARTIN LUTHER KING JR BLVD STE 112, HOUMA, LA 70360-2442
(985) 868-9343
Mailing address
1539 MARTIN LUTHER KING JR BLVD STE 112, HOUMA, LA 70360-2442
(985) 868-9343

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6656
LA

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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