Individual
DR. MARK RANDAL COMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3839 WEST CONGRESS STREET, SUITE D, LAFAYETTE, LA 70506-6021
(337) 989-0267
(337) 989-9030
Mailing address
3839 WEST CONGRESS STREET, SUITE D, LAFAYETTE, LA 70506-6021
(337) 989-0267
(337) 989-9030
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3129
LA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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